CMS Price Transparency Data

X-ray, hip

Facility: Medical Center Enterprise

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $80
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Medical Center Enterprise is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $277 (312%)
Insurance Median: $80 (90%)
Cash: $277 (312% of Medicare)
Ins. Median: $80 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Al Maternity Waiver Program $19 21%
Medicaid / KanCare $25 - $35 28%
Tricare $71 80%
Blue Cross Blue Shield $74 - $76 83%
Humana $74 83%
Medicare (plans) $74 83%
UnitedHealthcare $74 - $160 83%
Covenant Hospice $75 84%
Dayspring Hospice $75 84%
Healthspring $75 84%
Node Champva $75 84%
Node Devoted Health Mcr Adv $75 84%
Node Hospice Non Par $75 84%
Node Va $75 84%
Select Health $75 84%
Southerncare Hospice $75 84%
Aetna $76 - $996 85%
Node Clover Mcr Adv $76 85%
Node Wellcare Mcr Adv $76 85%
Veterans Eval Services $76 85%
Eon Health $77 87%
Wiregrass Hospice $80 90%
Node Us Dept Of Labor $94 106%
Ambetter / Centene $112 126%
Cigna $126 - $793 142%
Self Pay $128 - $427 144%
Occunet $131 147%
American Employee Alliance $569 640%
Alamed $854 961%
Affordable Health $996 1120%
Health Choice $996 1120%
Novanet Ppo $996 1120%
Coventry Work Comp Al $1,047 1178%
Multiplan $1,053 - $1,124 1184%
Wc Dept Ind Relations $1,138 1280%
Corvel $1,209 1360%
Galaxy Health $1,281 1441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals