CMS Price Transparency Data

X-ray, hip

Facility: Saint Agnes Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $10
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Saint Agnes Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.11x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $115 (129%)
Insurance Median: $10 (11%)
Cash: $115 (129% of Medicare)
Ins. Median: $10 (11% 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
Bcn Domestic $6 7%
Blue Benefit Administrators Of Massachusetts $6 - $175 7%
Blue Care Network $6 - $175 7%
Blue Cross Blue Shield $6 - $232 7%
Blue Distinction Transplant $6 - $175 7%
Blue Shield - Ca $6 - $175 7%
Blue Shield - Id (Regence) $6 - $175 7%
Blue Shield - Ny Highmark Northeastern $6 - $175 7%
Blue Shield - Ny Highmark Western $6 - $175 7%
Blue Shield - Pa (Highmark) $6 - $175 7%
Blue Shield - Wa (Regence) $6 - $175 7%
Health Choices $6 7%
Kaiser Domestic $6 7%
Pre-Employment $6 7%
Wc Domestic $6 7%
Medicaid / KanCare $7 - $28 8%
Medi-Cal Healthnet $8 - $12 9%
Aetna $10 - $142 11%
Albany County Correctional Facility $10 11%
Ambetter / Centene $10 11%
Amish Mennonite $10 11%
Andrie Inc $10 11%
Ascension St. Vincent Public Safety Medical $10 11%
Bcccp-Michigan $10 11%
Bccp $10 11%
Bmc Healthnet $10 11%
Breast Grant-Connecticut $10 11%
Broward County Dept Of Health $10 11%
California Health And Wellness $10 11%
Can Community Health Inc $10 11%
Cardinal Innovations Lme $10 11%
Care Connections Of Northern Iowa $10 11%
Care Oregon Ohp $10 11%
Cencal Health Plan $10 11%
Cenpatico $10 11%
Chhuny $10 11%
Childrens Comm Health Plan $10 11%
Childrens Medical Services Title 19 $10 11%
Cigna $10 - $241 11%
City Of Philadelphia $10 11%
Cmh Allegan County $10 11%
Cmh Ausable Valley $10 11%
Cmh Barry County $10 11%
Cmh Bay-Arenac County $10 11%
Cmh Berrien County $10 11%
Cmh Cass County $10 11%
Cmh Central Mi County $10 11%
Cmh Clinton-Eaton-Ingham County $10 11%
Cmh Detroit Wayne Integrated Health Network $10 11%
Cmh Genesee County $10 11%
Cmh Ionia County $10 11%
Cmh Jackson County/Lifeways $10 11%
Cmh Kalamazoo $10 11%
Cmh Kent County $10 11%
Cmh Lenawee County $10 11%
Cmh Livingston County $10 11%
Cmh Macomb $10 11%
Cmh Misc $10 11%
Cmh Monroe County $10 11%
Cmh Montcalm County $10 11%
Cmh Muskegon County $10 11%
Cmh Newaygo County $10 11%
Cmh North Country $10 11%
Cmh Northern Lakes County $10 11%
Cmh Oakland County $10 11%
Cmh Ottawa County $10 11%
Cmh Van Buren County $10 11%
Cmh Washtenaw County $10 11%
Cmh Wayne County/Carelink $10 11%
Cmh Wayne Cty/Com Liv Svcs $10 11%
Cmh West Mi County $10 11%
Community Benefit Health $10 11%
Community Care Behavorial Health $10 11%
Community Care Partners $10 11%
Community Health Choice $10 11%
Connections Csp $10 11%
Correctcare Integrated Health $10 11%
County Coroner $10 11%
County Funding Generic $10 11%
Covid19 Hrsa Uninsured Testing And Treatment Fund $10 11%
Dean Wi Badgercare $10 11%
Delaware County Department Of Health $10 11%
Delaware First Health $10 11%
Delta Dental Nj $10 11%
Dph Tb Program $10 11%
Dscc $10 11%
East Greenbush Central School District $10 11%
Eastpointe Lme $10 11%
Family Health Network $10 11%
Freedom First Healthcare $10 11%
Fresno County Ccs $10 11%
Genex Wc $10 11%
Ghc Scw Wi Badgercare $10 11%
Harbor Health $10 11%
Health Safety Net $10 11%
Healthsmart Workers Comp $10 11%
Healthy Blue Ne $10 11%
Hennepin Health $10 11%
Humana $10 - $115 11%
Id County Ada $10 11%
Id County Canyon $10 11%
Id County Cat Fund $10 11%
Id County Other $10 11%
Id County Payette $10 11%
Idaho Dept Health And Wellfare $10 11%
Idaho Womens Health Check $10 11%
Indiana Breast Cervical Cancer $10 11%
Inland Empire Health Plan $10 11%
Intercommunity Health Ohp $10 11%
Iowa Total Care $10 11%
Jag Source $10 11%
Jai Medical System $10 11%
Kern Family Health Plan $10 11%
Keystone First $10 11%
Keystone First Chip $10 11%
La Care Health Plan $10 11%
Lakeland Care Inc $10 11%
Managed Health Services - Indiana $10 11%
Maryland Breast & Cervical Program $10 11%
Maryland Healthy Smiles - Scion Dental $10 11%
Maryland Physicians Care $10 11%
Massachusetts Behavioral Health Partnership $10 11%
Mdwise $10 11%
Medi-Cal $10 11%
Medstar Dc Healthy Family $10 11%
Medstar Md Health Choice $10 11%
Mo Home State Health Plan $10 11%
Molina Centennial Care $10 11%
Nascentia Health Options $10 11%
Nebraska Total Care $10 11%
New York Cancer Services Program $10 11%
New York State Insurance Fund $10 11%
Nextlevel Health $10 11%
Njm Insurance Group $10 11%
Oregon Screenwise $10 11%
Pace Of Southwest Michigan $10 - $11 11%
Paramount Advantage $10 11%
Parkland Community Health Plan $10 11%
Partners Behavioral Lme $10 11%
Peach State Healthplan $10 11%
Philadelphia County Funding $10 11%
Presbyterian Centennial Care $10 11%
Prestige Health Choice $10 11%
Priority Partners $10 11%
Robert F Sing Program $10 11%
Rx 340B Pass Along $10 11%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $10 11%
Rx Heatlhcomp $10 11%
Rx Medi-Cal $10 11%
Rx Meridian Rx $10 11%
Rx Restat $10 11%
Rx Saif Opdp Wc $10 11%
Rx Worker'S Comp $10 11%
Ryan White Florida Mssrp $10 11%
Sandhills Center Lme $10 11%
Screening For Life $10 11%
St Joseph County Hlth Dpt $10 11%
Stephenson Cty Health $10 11%
Sunshine State Health Plan $10 11%
Superior Health $10 11%
Tenncare $10 11%
Texas Children'S Health Plan $10 11%
Trillium Community Ohp $10 11%
Tufts Health Public Plans $10 11%
UnitedHealthcare $10 - $713 11%
Vaya Health Lme $10 11%
Washtenaw Health Plan $10 11%
Wc Accident Fund $10 11%
Wc Ace $10 11%
Wc Acs Federal Employees $10 11%
Wc Acuity $10 11%
Wc Advantage $10 11%
Wc Aegis $10 11%
Wc Aig $10 11%
Wc Aims $10 11%
Wc Alaska National Ins $10 11%
Wc Align Network $10 11%
Wc Allied $10 11%
Wc Am Trust N America $10 11%
Wc American Claims Mgmt $10 11%
Wc Amerisure $10 11%
Wc Amtrust $10 11%
Wc Asu Risk Mgt $10 11%
Wc Benetech $10 11%
Wc Berkley Admin $10 11%
Wc Broadspire $10 11%
Wc Broward County $10 11%
Wc Bunch & Associates $10 11%
Wc California State Comp Ins $10 11%
Wc California State Ins Fund $10 11%
Wc Capitol Area Health Consortium $10 11%
Wc Ccmsi $10 11%
Wc Chartis $10 11%
Wc Chubb $10 11%
Wc Cirma $10 11%
Wc City Of Albany $10 11%
Wc City Of Sioux City $10 11%
Wc Claims Mgmt Inc $10 11%
Wc Cna $10 11%
Wc Comp One Admin C/O Manageability $10 11%
Wc Compone Admin $10 11%
Wc Ct Healthcare Trust $10 11%
Wc Donegal Insurance Group $10 11%
Wc Emc Insurance Company $10 11%
Wc Employee Mutual $10 11%
Wc Enablecomp $10 11%
Wc Encore Health Network $10 11%
Wc Erie $10 11%
Wc Esis $10 11%
Wc Evolutions $10 11%
Wc Fcci $10 11%
Wc Fed Ex $10 11%
Wc Federal Black Lung $10 11%
Wc Federated $10 11%
Wc Finley Occupational Health $10 11%
Wc First Agency/Occunet $10 11%
Wc Ford Motor $10 11%
Wc Fresno Unified Emp $10 11%
Wc Gallagher Bassett $10 11%
Wc General Motors $10 11%
Wc Generic $10 11%
Wc Genex Care For Ohio $10 11%
Wc Great West Casualty $10 11%
Wc Guarantee Insurance $10 11%
Wc Guard Insurance Company $10 11%
Wc Hab $10 11%
Wc Hartford $10 11%
Wc Hastings $10 11%
Wc Health Management $10 11%
Wc Heritage Summit $10 11%
Wc Hireright $10 11%
Wc Horizon $10 11%
Wc Icw Group $10 11%
Wc Idaho State Ins Fund $10 11%
Wc Intercare Insurance $10 11%
Wc Intermountain $10 11%
Wc Johns Eastern $10 11%
Wc Kemberton $10 11%
Wc Key Ins & Benefit Solutions $10 11%
Wc Liberty Mutual $10 11%
Wc Mac Risk Management $10 11%
Wc Massachusetts $10 11%
Wc Mdia $10 11%
Wc Meadowbrook Claim $10 11%
Wc Medical Administrators $10 11%
Wc Meijers $10 11%
Wc Memic $10 11%
Wc Mercy Workcare $10 11%
Wc Michigan $10 11%
Wc Michigan Millers Mutual $10 11%
Wc Mitchell Frankenmuth $10 11%
Wc Mra $10 11%
Wc Nationwide $10 11%
Wc Nca Comp $10 11%
Wc New York $10 11%
Wc New York Special Funds $10 11%
Wc North American Rishces $10 11%
Wc Northeast Health $10 11%
Wc Notre Dame $10 11%
Wc Novanet $10 11%
Wc O'Hara Corp $10 11%
Wc Occ Health Allen $10 11%
Wc Ohio Bureau $10 11%
Wc One Call Medical $10 11%
Wc Paradigm $10 11%
Wc Peerless $10 11%
Wc Pma $10 11%
Wc Praxis Health Network $10 11%
Wc Price Chopper $10 11%
Wc Procura Management $10 11%
Wc Qualcare $10 11%
Wc Quiktrip $10 11%
Wc Reny Company $10 11%
Wc Rev Claims $10 11%
Wc Risico $10 11%
Wc Rural Mutual $10 11%
Wc Saif Oregon $10 11%
Wc Secura $10 11%
Wc Sedgwick $10 11%
Wc Sentry $10 11%
Wc Sheakley Unicomp $10 11%
Wc Smile Lodge $10 11%
Wc Society $10 11%
Wc Srs $10 11%
Wc Taconic (Mro) $10 11%
Wc Taconic Farms $10 11%
Wc Travelers $10 11%
Wc Triad Group $10 11%
Wc Tristar $10 11%
Wc Troy Ny $10 11%
Wc Tyson $10 11%
Wc Unified Health Services $10 11%
Wc United Heartland $10 11%
Wc Us Dept Of Labor $10 11%
Wc Velocity $10 11%
Wc Walmart $10 11%
Wc West Bend $10 11%
Wc West Bend Mutual/Argent $10 11%
Wc Winnebago Industries $10 11%
Wc Yankee Trails $10 11%
Wc York Risk $10 11%
Wc Zenith $10 11%
Wc Zurich $10 11%
Wellsense Health Plan $10 11%
Wi Womens Wellness $10 11%
Ally Align Care Adv $11 12%
American Health Advantage Of Idaho $11 12%
American Health Plan $11 12%
Aurora Special Needs $11 12%
Blue Care Network Advantage $11 12%
Blue Shield - De (Highmark) Medciare Advantage $11 12%
Care Dimensions $11 12%
Care Improvement Plus $11 12%
Care Resources Pace $11 12%
Careplus Health Plans $11 12%
Cca - Zing Health $11 12%
Cca Senior Care Options $11 12%
Central Valley Medical Services Corp Pace $11 12%
Champion Health Plan Mcr Advantage $11 12%
Champva $11 12%
Clear Spring Health $11 12%
Clover Health $11 12%
Commonwealth Care Alliance $11 12%
Community Pace At Home $11 12%
Eddy Senior Care-Pace $11 12%
Eddy Seniorcare Pace $11 12%
Elementcare $11 12%
Evercare $11 12%
Everence $11 12%
Gateway Health Plan $11 12%
Genesys Pace Of Genesee County $11 12%
Georgia Health Advantage $11 12%
Gold Advantage $11 12%
Gpa Croell Redi Mix $11 12%
Health America Advantra $11 12%
Highmark Health Options Dual Plan $11 12%
Hope Select Pace $11 12%
Horizon Nj Total Care $11 12%
Hudson Headwaters Pace $11 12%
Huron Valley Pace $11 12%
Innovative Integrated Health Community Plans $11 12%
Iowa Health Advantage $11 12%
Johns Hopkins Advantage Md $11 12%
Lasso Healthcare Msa $11 12%
Life St Marys Pace $11 12%
Lifecircles Pace $11 12%
Longevity Health Plan $11 12%
Longevity Ipa Of Michigan Llc Health Plan Isnp $11 12%
Martins Point Generations Advantage $11 12%
Mass General Brigham Mcr Adv $11 12%
Medicare (plans) $11 - $115 12%
Medipak Advantage $11 12%
Mercy Life $11 12%
Mercyone Cedar Valley $11 12%
Meridian Complete $11 12%
Michigan Complete Health $11 12%
Multiplan $11 - $262 12%
Nascentia Health Plus $11 12%
New Centry Health Careplus $11 12%
Osu Prime Care Advantage $11 12%
Pace Cny $11 12%
Pace Iowa Immanuel Pathways $11 12%
Pace Southeast $11 12%
Pace-Trinity Health $11 12%
Peak Pace Solutions $11 12%
Perennial Advantage $11 12%
Phcs $11 - $262 12%
Preferred Care Partners $11 12%
Presbyterian Senior Plan $11 12%
Provider Partners Health Plan Of Illinois $11 12%
Provider Partners Health Plan Of Indiana $11 12%
Pruitthealth Premier $11 12%
Reliance Community Care Partners Care Resources Pace $11 12%
Rx Allwin $11 12%
Rx Grane Grnmedd $11 12%
Rx Retiree Rx Care $11 12%
Scan Health Plan Mcr Ipa Meritage Oon $11 12%
Secure Horizons Ma Pffs $11 12%
Serenity Pace $11 12%
Siouxland Pace $11 12%
Solis Health Plans $11 12%
Sunnyview-Pace Finance Dept $11 12%
Texan Plus $11 12%
The Health Plan $11 12%
Thome Pace $11 12%
Todays Options $11 12%
Tribute Health Plans $11 12%
Tricare $11 12%
Triwest Health Alliance $11 12%
Um Health Advantage $11 12%
Union Health Service $11 12%
Us Family Health Plan $11 12%
Veterans Administration $11 12%
Veterans Eval Services $11 12%
Welbe Health $11 - $115 12%
Wellmed $11 12%
Meritain $12 - $135 13%
Align Senior Care $13 - $129 15%
Coventry $13 - $215 15%
First Health $13 15%
Healthnet $13 - $254 15%
Cba Network By Design $14 - $234 16%
Advantek Central Usd $17 - $232 19%
Geha $17 - $713 19%
Kaiser Permanente $21 - $196 24%
Wc Corvel $21 - $25 24%
Trustmark Small Business Benefits $135 152%
Allied Benefit Systems $142 160%
Boon Chapman $142 160%
Hap $142 160%
Webtpa $142 160%
St Agnes Nicu Valley Childrens Hospital $203 228%
Network Health $234 263%
Allegiance $241 271%
American Postal Workers Secondary $241 271%
Interplan $281 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals