How Much Does a Shoulder X-Ray Cost in Maryland?
X-ray exam of shoulder
$98Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a shoulder x-ray costs up to about $98 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maryland averages $37, from $36 in Rest of Maryland to $38 in Baltimore/Surr. Cntys.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Maryland Medicare physician rate (2026)
+3.8% vs nationalAverage of 2 localities. Office range $36.09–$38.11.
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Maryland
A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
What shoulder x-ray costs at hospitals near you
Everything above is a national average. The hospital you pick in Maryland moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 20601.
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What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Maryland the office and hospital physician lines for this CPT differ by $27.86.
National vs Maryland
Where Maryland ranks for this CPT
CPT 73030 by Maryland locality
| Locality | Office |
|---|---|
| baltimore/surr. cntys | $38.11 |
| rest of maryland | $36.09 |
PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.
Shoulder X-Ray and how Maryland is priced
Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.
Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.
This procedure: A shoulder X-ray takes two or more views of the shoulder joint in a few minutes, checking for fractures, dislocations, arthritis, or calcium deposits. It is usually the first imaging test for shoulder pain because it is fast and inexpensive, even though it cannot see the rotator cuff tendons themselves. You stand or sit while the technologist positions your arm for each view; no preparation is needed and the radiation dose is small.
What Is Shoulder X-Ray?
A shoulder X-ray takes two or more views of the shoulder joint in a few minutes, checking for fractures, dislocations, arthritis, or calcium deposits. It is usually the first imaging test for shoulder pain because it is fast and inexpensive, even though it cannot see the rotator cuff tendons themselves. You stand or sit while the technologist positions your arm for each view; no preparation is needed and the radiation dose is small.
What Affects the Cost
- –An orthopedic office with in-house X-ray often bills less overall than a hospital radiology department for the same views.
- –The radiologist or orthopedist reading fee may be billed separately from the technical charge.
- –Because X-rays cannot show tendons, a normal result often leads to a shoulder MRI, which costs many times more.
- –ER imaging for a suspected dislocation carries emergency facility pricing.
- –Comparison views of the other shoulder, when ordered, can add a second billed study.
Questions to Ask Before Booking
- 1.Is the X-ray billed on top of today's visit charge, and at what price?
- 2.Who reads the images, and is their fee separate?
- 3.If the X-ray is normal, will you order an MRI, and what will that authorization and cost look like?
- 4.Do you need views of both shoulders for comparison, and does that double the imaging charge?
- 5.Can I get the images done here in your office rather than at the hospital?
Other featured procedures in Maryland
Shoulder X-Ray in other states
Shoulder X-Ray in Maryland: questions
Under 2026 Medicare rates, a shoulder x-ray costs up to about $98 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maryland averages $37, from $36 in Rest of Maryland to $38 in Baltimore/Surr. Cntys. Enter a ZIP for the exact Maryland locality.
Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $2.02 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $7 for the office physician line or $2 for the hospital physician line in Maryland. Medigap may cover that 20%. This is not the hospital facility fee.
It depends on where the test is done. At an independent imaging center, lab or office, $37.10 is Medicare's full rate in Maryland, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $9.24) and the hospital is paid separately, which brings the national total to up to about $98. Maryland ranks #41 of 51 states on the non-hospital rate (4% above the national office rate of $35.74).