CMS Price Transparency Data

X-ray, hip

Facility: Baldwin Health

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $160
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Baldwin Health is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.80x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $162 (182%)
Insurance Median: $160 (180%)
Cash: $162 (182% of Medicare)
Ins. Median: $160 (180% 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
Medicaid / KanCare $25 28%
Veterans Eval Services $76 85%
Tricare $78 88%
Blue Cross Blue Shield $79 - $81 89%
Humana $81 91%
Medicare (plans) $81 91%
Triwest $81 91%
UnitedHealthcare $81 - $160 91%
Windsor Health Plan $81 91%
Cigna $83 - $312 93%
Community Hospice $83 93%
Hospice $83 93%
Mercy Medical Hospice $83 93%
Node Champva $83 93%
Node Clover Health Mcr Adv $83 93%
Node Devoted Health Mcr Adv $83 93%
Node Va $83 93%
Select Health $83 93%
Aetna $84 - $609 94%
Node Wellcare Mcr Adv $84 94%
Us Dol $103 116%
Self Pay $122 - $203 137%
Ambetter / Centene $124 139%
First Choice $134 151%
American Employee Alliance $271 305%
Multiplan $386 - $555 434%
First Health $507 - $546 570%
Alamed $518 583%
Multiplan Inc $518 583%
Coventry Work Comp Al $529 595%
One Health $541 608%
Pro America $541 608%
Novanet $546 614%
Alabama Wc $575 647%
Gulf Health $575 647%
Principal Ppo $575 647%
Viva Health $575 647%
National Health $609 685%
Galaxy $616 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals