How much does Medicare pay for CPT 71111?

Medicare allowed an average of $31.13 per service and paid $23.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $88.52, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 71111?

X-ray of ribs on both sides of body, minimum of 4 views. It was billed 4,234 times to 3,410 Medicare beneficiaries by 146 providers in 2024.

Does 71111 pay differently in an office than a hospital?

Yes. The allowed amount averaged $33.43 in an office setting and $15.28 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 71111 most?

Portable X-Ray Supplier, with 2,506 services from 48 clinicians. Next are Diagnostic Radiology, Independent Diagnostic Testing Facility (IDTF), Emergency Medicine.

CPT 71111

X-ray of ribs on both sides of body, minimum of 4 views

$31.13Medicare-allowed amount per service, averaged across 4,234 services

Providers submitted

$88.52

Asking price, not received

Medicare allowed

$31.13

The fee schedule figure

Medicare paid

$23.52

Balance is patient coinsurance

Providers submitted an average of $88.52 for this code and Medicare allowed $31.13 — 2.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $23.52 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $33.43
Hospital / facility: $15.28

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,698 services were billed in an office setting and 536 in a facility.

Services: 4,234
Beneficiaries: 3,410
Providers billing it: 146
Total allowed: $131,804

What Medicare pays for CPT 71111

Across 4,234 services billed by 146 providers to 3,410 beneficiaries, Medicare allowed an average of $31.13 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 71111

Specialty	Services	Beneficiaries	Avg allowed	Providers
Portable X-Ray Supplier	2,506	1,726	$30.17	48
Diagnostic Radiology	1,408	1,366	$29.95	77
Independent Diagnostic Testing Facility (IDTF)	88	88	$44.95	6
Emergency Medicine	62	62	$41.89	4
Family Practice	48	48	$43.98	3
Internal Medicine	38	37	$40.85	2
Nurse Practitioner	27	27	$40.08	2
Orthopedic Surgery	17	16	$56.66	1
Physician Assistant	15	15	$43.12	1
General Practice	13	13	$47.88	1
Interventional Radiology	12	12	$41.88	1

71111 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	868	$35.77	$24.13	17
Maryland	638	$27.95	$20.58	7
California	302	$37.43	$24.00	18
Florida	261	$31.94	$25.03	10
Illinois	255	$30.68	$20.43	12
Ohio	251	$24.46	$17.83	6
Tennessee	190	$26.25	$22.19	4
Texas	157	$36.46	$29.22	7
Pennsylvania	150	$27.65	$21.65	6
Arizona	147	$49.38	$36.85	8
New Jersey	139	$29.21	$21.03	4
North Carolina	104	$39.50	$30.50	5
Arkansas	84	$17.05	$16.65	2
Oklahoma	82	$20.33	$16.01	4
Mississippi	70	$37.41	$31.53	5
Massachusetts	66	$15.33	$11.05	3
Missouri	66	$21.79	$19.37	3
Michigan	57	$20.33	$13.60	4
Georgia	45	$27.18	$23.02	3
Alabama	43	$38.62	$32.22	1
Virginia	43	$45.68	$31.39	3
West Virginia	38	$15.23	$9.88	2
Washington	37	$15.05	$10.75	3
Wisconsin	29	$15.04	$10.91	2
Indiana	24	$14.39	$10.29	1
South Carolina	24	$32.67	$23.87	2
Rhode Island	21	$25.44	$19.21	1
Louisiana	18	$43.25	$35.24	1
Nevada	13	$51.53	$40.93	1
Delaware	12	$15.65	$11.69	1

Related codes

71101X-ray of ribs on side of body$19.00
71100X-ray of ribs on side of body$20.66
71110X-ray of ribs on both sides of body$26.96

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.