Kentucky · 74022

X-Ray Series Of Abdomen With Single X-Ray Of Chest in Kentucky

Kentucky Medicare Avg
$12.95
7% below national avg
National Medicare Avg
$14.00
All states combined
Billed Charge (KY)
$76.88
What providers submit
Est. Commercial (KY)
$37.18
National avg: $42.45
Est. Cash / Self-Pay (KY)
$34.42
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

2.2K
Services in KY
333
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Hines, Henry MD $11.19 54
Matharoo, Paul MD $11.33 53
Pressman, Brent D.O. $11.09 53
Holzknecht, Robert M.D. $21.27 47
Kendall, William MD $11.74 37

Kentucky Pricing in Context

In Kentucky, CPT code 74022 (X-Ray Series Of Abdomen With Single X-Ray Of Chest) carries an average Medicare payment of $12.95 — 7% below the national benchmark of $14.00. 333 providers across the state submitted claims for this procedure in 2023, performing 2.2K total services. Individual payments in KY ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Kentucky is $76.88, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Kentucky sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Kentucky lands near $37.18, with self-pay cash prices typically around $34.42. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Series Of Abdomen With Single X-Ray Of Chest cost in Kentucky?

The average Medicare payment for X-Ray Series Of Abdomen With Single X-Ray Of Chest in Kentucky is $12.95, which is 7% below the national average of $14.00. Providers in KY typically bill $76.88 for this procedure.

What does X-Ray Series Of Abdomen With Single X-Ray Of Chest cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Series Of Abdomen With Single X-Ray Of Chest costs an estimated $37.18. Without insurance, the estimated cash price is $34.42. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Series Of Abdomen With Single X-Ray Of Chest in Kentucky?

333 providers in Kentucky billed Medicare for X-Ray Series Of Abdomen With Single X-Ray Of Chest in 2023, performing 2.2K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Series Of Abdomen With Single X-Ray Of Chest cheaper in Kentucky than the national average?

Yes — X-Ray Series Of Abdomen With Single X-Ray Of Chest costs 7% below the national average in Kentucky. The state average Medicare payment is $12.95 compared to $14.00 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial