How much does Medicare pay for CPT 73000?

Medicare allowed an average of $17.88 per service and paid $13.45 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $67.29, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 73000?

X-ray of collar bone. It was billed 13,711 times to 10,290 Medicare beneficiaries by 469 providers in 2024.

Does 73000 pay differently in an office than a hospital?

Yes. The allowed amount averaged $22.39 in an office setting and $8.19 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 73000 most?

Diagnostic Radiology, with 6,268 services from 308 clinicians. Next are Portable X-Ray Supplier, Orthopedic Surgery, Physician Assistant.

CPT 73000

X-ray of collar bone

$17.88Medicare-allowed amount per service, averaged across 13,711 services

Providers submitted

$67.29

Asking price, not received

Medicare allowed

$17.88

The fee schedule figure

Medicare paid

$13.45

Balance is patient coinsurance

Providers submitted an average of $67.29 for this code and Medicare allowed $17.88 — 3.8× 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 $13.45 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $22.39
Hospital / facility: $8.19

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. 9,355 services were billed in an office setting and 4,356 in a facility.

Services: 13,711
Beneficiaries: 10,290
Providers billing it: 469
Total allowed: $245,153

What Medicare pays for CPT 73000

Across 13,711 services billed by 469 providers to 10,290 beneficiaries, Medicare allowed an average of $17.88 per service. That is 1.3 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 73000

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	6,268	5,274	$12.60	308
Portable X-Ray Supplier	4,589	2,960	$18.11	75
Orthopedic Surgery	2,186	1,598	$31.50	53
Physician Assistant	246	162	$23.27	11
Interventional Radiology	122	98	$9.55	8
Nurse Practitioner	115	64	$24.94	5
Internal Medicine	51	40	$27.92	2
Family Practice	41	29	$26.19	2
Radiation Oncology	33	29	$7.57	2
Sports Medicine	32	23	$24.99	2
Hand Surgery	28	13	$29.88	1

73000 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	1,672	$20.20	$13.70	50
Maryland	1,514	$16.75	$12.46	15
California	1,302	$19.29	$12.20	63
Illinois	995	$16.70	$12.66	30
Florida	943	$22.53	$17.33	26
Texas	919	$26.65	$20.98	24
Ohio	745	$11.23	$8.60	21
Massachusetts	431	$13.59	$9.42	18
Pennsylvania	383	$16.45	$12.58	21
Missouri	360	$13.40	$10.72	8
Washington	360	$12.20	$8.47	14
Michigan	303	$14.62	$11.23	16
Tennessee	300	$13.78	$11.78	8
New Jersey	268	$20.77	$14.80	8
North Carolina	245	$14.77	$11.84	11
Virginia	239	$18.37	$13.38	12
New Hampshire	223	$9.65	$6.94	10
Louisiana	214	$25.14	$21.32	5
Arizona	186	$24.57	$19.18	10
Georgia	171	$25.42	$20.32	5
Wisconsin	161	$11.19	$8.85	9
Arkansas	151	$15.37	$13.07	5
Minnesota	144	$12.78	$9.65	6
Colorado	129	$17.93	$12.61	7
Oklahoma	124	$17.73	$14.76	6
Iowa	121	$12.94	$10.00	7
Alabama	110	$11.04	$9.37	5
Idaho	108	$7.48	$5.78	5
Delaware	108	$29.80	$22.14	4
Vermont	95	$7.67	$5.63	4
Kansas	95	$14.99	$12.33	4
Nevada	81	$25.78	$19.05	4
Nebraska	67	$7.45	$6.03	5
Mississippi	62	$23.16	$19.53	3
South Carolina	56	$27.78	$26.69	3
Hawaii	51	$8.04	$6.00	1
Rhode Island	46	$10.47	$7.68	3
Connecticut	42	$22.88	$16.54	2
Oregon	30	$18.54	$13.08	2
New Mexico	30	$7.88	$5.65	2
North Dakota	27	$23.50	$16.68	1
Kentucky	27	$28.82	$22.24	1
Utah	25	$30.26	$22.67	1
Montana	22	$7.82	$5.40	2
South Dakota	15	$7.67	$5.84	1
Indiana	11	$7.51	$5.17	1

Related codes

73030X-ray of shoulder$22.04
73080X-ray of elbow$16.52
73060X-ray of upper arm$11.37
73090X-ray of forearm$10.89
73070X-ray of elbow$16.13
73020X-ray of shoulder$11.35
73010X-ray of shoulder blade$22.56
73050X-ray of both collar bones joints$26.32
73040Review by radiologist of shoulder joint image$119.55

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.