CMS Price Transparency Data

X-ray, hip

Facility: Ochsner Choctaw General

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $114
Cash Discount Price: $192
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Ochsner Choctaw General is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $192 (216%)

Insurance Median: $114 (128%)

Cash: $192 (216% of Medicare)

Ins. Median: $114 (128% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$8 - $176	9%
Humana	$8 - $196	9%
Prime Health Services Ppo	$11 - $202	12%
UnitedHealthcare	$13 - $196	15%
Prime Health Services Ppo -Workers Comp	$14 - $202	16%
Cor Vel	$15 - $206	17%
Select Administrative Services Network	$15 - $177	17%
Claritev D/B/A Multiplan/Phcs/American Life Care	$16 - $190	18%
Aetna	$17 - $164	19%
Primewell Health Services Commercial Exchange Plan	$19 - $170	21%
Primewell Health Services – Commercial	$19 - $170	21%
Zelis	$19 - $190	21%
Cigna	$20 - $196	22%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$41 - $196	46%
Medicaid / KanCare	$41 - $71	46%
Medicare (plans)	$41 - $225	46%
Shared Health Mississippi	$43 - $206	48%
Ambetter / Centene	$115	129%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $192.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.