Cost analysis for CPT 72100 — X-ray of lower and sacral spine, 2-3 views
Average Medicare Payment
$16.43
2023 data
Total Payments (2023)
$26.2M
Services (2023)
1.5M
Price Change (2014–2023)
+3.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $15.86 | $29.8M | 1.8M | — |
| 2015 | $15.12 | $28.6M | 1.9M | -4.7% |
| 2016 | $14.62 | $28.4M | 1.9M | -3.3% |
| 2017 | $14.50 | $27.9M | 1.8M | -0.8% |
| 2018 | $14.57 | $27.6M | 1.8M | +0.5% |
| 2019 | $15.28 | $28.9M | 1.8M | +4.9% |
| 2020 | $15.72 | $23.6M | 1.4M | +2.9% |
| 2021 | $16.79 | $28.1M | 1.5M | +6.8% |
| 2022 | $16.55 | $26.9M | 1.5M | -1.4% |
| 2023 | $16.43 | $26.2M | 1.5M | -0.7% |
The most expensive state pays 3.0x more than the cheapest for this procedure. NJ averages $25.72 vs ME at $8.44.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $25.72 | $797.4K | 31.0K | 703 |
| FL | $21.87 | $2.3M | 103.5K | 1.7K |
| CA | $21.65 | $2.8M | 127.4K | 2.0K |
| NY | $21.40 | $1.8M | 82.7K | 1.2K |
| MD | $20.76 | $994.1K | 47.9K | 558 |
| DC | $20.61 | $73.8K | 3.6K | 64 |
| AZ | $20.52 | $570.9K | 27.8K | 440 |
| CT | $20.39 | $358.4K | 17.6K | 382 |
| AL | $19.98 | $555.9K | 27.8K | 621 |
| GA | $19.71 | $883.1K | 44.8K | 935 |
| WY | $19.66 | $57.6K | 2.9K | 53 |
| NV | $19.37 | $188.9K | 9.8K | 198 |
| PR | $19.00 | $20.1K | 1.1K | 46 |
| AK | $18.74 | $70.3K | 3.8K | 69 |
| VA | $18.64 | $823.0K | 44.2K | 737 |
| TN | $18.28 | $950.1K | 52.0K | 966 |
| TX | $18.24 | $1.8M | 101.4K | 1.8K |
| NC | $18.19 | $1.0M | 57.4K | 1.2K |
| RI | $17.89 | $92.7K | 5.2K | 107 |
| DE | $17.58 | $109.2K | 6.2K | 83 |
| CO | $17.33 | $403.8K | 23.3K | 458 |
| SC | $17.18 | $595.9K | 34.7K | 634 |
| LA | $16.60 | $409.4K | 24.7K | 465 |
| IL | $16.33 | $939.3K | 57.5K | 1.0K |
| NH | $16.23 | $172.6K | 10.6K | 185 |
| IN | $15.95 | $489.8K | 30.7K | 573 |
| KY | $15.67 | $315.0K | 20.1K | 363 |
| MS | $15.43 | $297.3K | 19.3K | 351 |
| WA | $15.25 | $479.5K | 31.4K | 507 |
| OK | $15.00 | $340.6K | 22.7K | 410 |
| PA | $14.89 | $755.3K | 50.7K | 917 |
| NM | $14.80 | $84.3K | 5.7K | 117 |
| UT | $14.65 | $126.9K | 8.7K | 179 |
| KS | $14.55 | $231.6K | 15.9K | 287 |
| AR | $14.35 | $308.9K | 21.5K | 422 |
| MI | $14.35 | $488.2K | 34.0K | 680 |
| MA | $14.04 | $543.9K | 38.7K | 607 |
| HI | $13.99 | $52.6K | 3.8K | 73 |
| MN | $13.75 | $451.2K | 32.8K | 631 |
| OH | $13.67 | $734.5K | 53.7K | 884 |
| NE | $13.14 | $165.1K | 12.6K | 224 |
| OR | $12.99 | $216.8K | 16.7K | 308 |
| IA | $12.98 | $238.3K | 18.4K | 320 |
| MO | $12.95 | $447.8K | 34.6K | 570 |
| WI | $12.92 | $338.5K | 26.2K | 474 |
| SD | $12.69 | $69.2K | 5.5K | 97 |
| AP | $12.39 | $2.1K | 171 | 2 |
| ND | $10.70 | $43.2K | 4.0K | 58 |
| MT | $10.67 | $52.2K | 4.9K | 85 |
| ID | $10.64 | $63.6K | 6.0K | 111 |
| VT | $9.52 | $17.1K | 1.8K | 38 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Symphony Diagnostic Services No 1 Llc | Portable X-Ray Supplier | MD | $219.5K | 15.3K | $14.32 |
| Radiology Partners Llc | Independent Diagnostic Testing Facility (IDTF) | CA | $127.3K | 4.2K | $30.61 |
| Berger And Burrow Enterprises Inc. | Portable X-Ray Supplier | VA | $48.7K | 2.6K | $18.76 |
| Preventive Diagnostics Inc | Portable X-Ray Supplier | OH | $43.2K | 2.7K | $15.96 |
| Integrated Health Administrative Services Inc. | Portable X-Ray Supplier | NY | $37.4K | 2.4K | $15.83 |
| Biotech X-Ray Inc | Portable X-Ray Supplier | MO | $35.3K | 2.5K | $14.10 |
| Mobile Images Acquisition, Llc | Portable X-Ray Supplier | TN | $32.1K | 2.4K | $13.60 |
| Erik Spayde | Orthopedic Surgery | CA | $26.7K | 772 | $34.56 |
| Atul Bhat | Physical Medicine and Rehabilitation | MA | $25.3K | 724 | $34.89 |
| Specialty Portable X-Ray, Inc | Portable X-Ray Supplier | NY | $25.1K | 861 | $29.18 |
| Elizabeth Morris | Diagnostic Radiology | NY | $25.0K | 1.1K | $21.80 |
| Precision Health Inc | Portable X-Ray Supplier | NY | $24.7K | 1.0K | $24.10 |
| Danh Nguyen | Diagnostic Radiology | CA | $24.5K | 850 | $28.82 |
| Nathaniel Lowen | Orthopedic Surgery | FL | $24.5K | 794 | $30.80 |
| Amandeep Bhalla | Orthopedic Surgery | CA | $23.4K | 665 | $35.23 |
| Joseph O'brien | Orthopedic Surgery | MD | $22.8K | 634 | $35.92 |
| Elliott Wagner | Diagnostic Radiology | NY | $22.3K | 1.3K | $16.97 |
| Michael Silverstein | Orthopedic Surgery | FL | $21.7K | 754 | $28.74 |
| Joseph Walter | Diagnostic Radiology | CA | $20.3K | 548 | $36.98 |
| Lost Pines Mobile Imaging Llc | Portable X-Ray Supplier | TX | $19.7K | 624 | $31.60 |
The data suggests significant pricing inconsistencies for CPT 72100. With a 3.0x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.