CMS Price Transparency Data

X-ray, hip

Facility: Riverside Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $291
Cash Discount Price: $1,755
vs. Medicare Baseline: 3.27x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Riverside Community Hospital is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,755. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.27x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$1,755

Average discount available for prompt cash payment at this facility.

Insurance Median

$291

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: $1,755 (1974%)

Insurance Median: $291 (327%)

Cash: $1,755 (1974% of Medicare)

Ins. Median: $291 (327% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 327% of the Medicare baseline (a markup of 227%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
La Care Health	$28	31%
Molina	$28	31%
Brand New Day	$30	34%
Inland Empire Health Plan	$40	45%
Blue Cross Blue Shield	$54 - $267	61%
Blue Shield	$123 - $197	138%
United	$182 - $461	205%
Medcare Partners	$263	296%
Aetna	$316	355%
Cigna	$350	394%
Health Net	$391	440%
Redlands Community	$526	592%
First Health	$772 - $1,579	868%
American Health System	$790	889%
Healthsmart	$1,404	1579%
Multiplan	$1,404 - $1,491	1579%
Next	$1,404	1579%

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 $1,755.
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 Riverside Community Hospital 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.