CMS Price Transparency Data

X-ray, hip

Facility: City of Hope National Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $348
Cash Discount Price: $497
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at City of Hope National Medical Center is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.91x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$497

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $497 (559%)

Insurance Median: $348 (391%)

Cash: $497 (559% of Medicare)

Ins. Median: $348 (391% 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 391% of the Medicare baseline (a markup of 291%). 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
Health Net	$19 - $482	21%
Cal Optima	$27 - $43	30%
Heritage Provider Network	$34 - $348	38%
Inland Empire	$41 - $398	46%
Prime Healthcare Keenan	$75 - $477	84%
UnitedHealthcare	$243 - $278	273%
Blue Cross Blue Shield	$248 - $358	279%
Blue Shield	$294 - $592	331%
Blue Shield Covca	$302	340%
Blue Shield Promise	$348	391%
Cencal	$398	448%
La Care Health	$398	448%
Cigna	$425	478%
Kaiser	$447	503%
Aetna	$497	559%
Gold Coast	$497	559%
Molina	$497 - $646	559%
Facey	$547	615%
Healthcare Partners	$577	649%
St. Joseph Heritage	$596	670%
Primecare Medical Network	$646	727%
First Health	$765	860%
Phcs Multiplan	$895	1007%

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 $497.
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 City of Hope National Medical Center 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.