Kentucky · 77077

X-Ray Of Joints, Multiple in Kentucky

Kentucky Medicare Avg
$24.86
9% above national avg
National Medicare Avg
$22.82
All states combined
Billed Charge (KY)
$106.93
What providers submit
Est. Commercial (KY)
$72.58
National avg: $69.50
Est. Cash / Self-Pay (KY)
$55.33
Typical self-pay discount

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

532
Services in KY
16
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Averion-Mahloch, Timothy M.D. $29.43 242
West, John M.D. $33.17 28

Kentucky Pricing in Context

In Kentucky, CPT code 77077 (X-Ray Of Joints, Multiple) carries an average Medicare payment of $24.86 — 9% above the national benchmark of $22.82. 16 providers across the state submitted claims for this procedure in 2023, performing 532 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 $106.93, 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 above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Kentucky lands near $72.58, with self-pay cash prices typically around $55.33. 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 Of Joints, Multiple cost in Kentucky?

The average Medicare payment for X-Ray Of Joints, Multiple in Kentucky is $24.86, which is 9% above the national average of $22.82. Providers in KY typically bill $106.93 for this procedure.

What does X-Ray Of Joints, Multiple cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Of Joints, Multiple costs an estimated $72.58. Without insurance, the estimated cash price is $55.33. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Joints, Multiple in Kentucky?

16 providers in Kentucky billed Medicare for X-Ray Of Joints, Multiple in 2023, performing 532 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Joints, Multiple cheaper in Kentucky than the national average?

No — X-Ray Of Joints, Multiple costs 9% above the national average in Kentucky. The state average Medicare payment is $24.86 compared to $22.82 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