CMS Price Transparency Data

X-ray, hip

Facility: Grossmont Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $338
Cash Discount Price: $399
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Grossmont Hospital is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.80x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$338

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: $399 (449%)

Insurance Median: $338 (380%)

Cash: $399 (449% of Medicare)

Ins. Median: $338 (380% 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 380% of the Medicare baseline (a markup of 280%). 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
County Medical Services	$64	72%
Blue Shield	$74 - $426	83%
Aetna	$158 - $399	178%
Cigna	$158	178%
Health Net	$158 - $426	178%
Indian Health Council	$158	178%
Kaiser	$158	178%
Medicare (plans)	$158 - $426	178%
Humana	$255	287%
UnitedHealthcare	$266 - $426	299%
Blue Cross Blue Shield	$325 - $372	366%
Medi-Cal	$325	366%
Molina	$325 - $356	366%
Managed Health Network	$338 - $356	380%
Community Health Group	$356 - $426	400%
Allianz Global Assistance	$367	413%
San Diego Pace	$367	413%

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 $399.
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 Grossmont 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.