CMS Price Transparency Data

X-ray, hip

Facility: El Centro Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $307
  • Cash Discount Price: $383
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at El Centro Regional Medical Center is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.45x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$383

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $383 (431%)
Insurance Median: $307 (345%)
Cash: $383 (431% of Medicare)
Ins. Median: $307 (345% 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 345% of the Medicare baseline (a markup of 245%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Shield-All Plans $79 89%
Aetna $110 - $414 124%
Blue Cross Blue Shield $112 - $942 126%
Brand New Day Comm - All Other Plans $112 126%
Brand New Day Mcr $112 126%
Healthnet Mcr Adv $112 126%
Molina Mcr Adv $112 126%
Scp Managed Care - All Plans $112 126%
Tricare $112 126%
UnitedHealthcare $112 - $472 126%
Easy Choice Mcr Adv-All Plans $123 138%
Healthnet Hmo $140 157%
Cdcr Correctional-All Plans $145 163%
Pacificare-All Plans $154 - $584 173%
Mulitplan Primary - All Other Plans $169 - $641 190%
Cigna $187 - $706 210%
Multiplan Comp $199 - $754 224%
Trident - All Plans $212 - $801 238%
Healthnet Comm-All Other Plans $224 - $848 252%
Humana $232 - $876 261%
Ahccs/Medi-Cal Misc - All Plans $249 - $942 280%
Brand New Day Mcal $249 - $942 280%
Medi-Cal $249 - $942 280%
Molina Exchange - All Other Plans $249 - $942 280%
Ambetter / Centene $256 - $970 288%
Molina Mcal $274 - $1,036 308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals