CMS Price Transparency Data

X-ray, hip

Facility: AHMC Seton Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $156
  • Cash Discount Price: $610
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at AHMC Seton Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $610. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$610

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $610 (686%)
Insurance Median: $156 (175%)
Cash: $610 (686% of Medicare)
Ins. Median: $156 (175% 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
Blue Cross Blue Shield $12 - $702 13%
Health Plan Of San Mateo Healthworx $34 38%
Cmac $37 42%
Hill Physicians Medical Group Inc $37 - $60 42%
Kaiser $37 - $758 42%
Medi-Cal $37 42%
Health Plan Of San Mateo $39 44%
Asian American Medical Group $45 - $158 51%
San Mateo County/San Mateo County General Hospital $46 52%
Brown And Toland Medical Group $47 - $158 53%
North East Medical Services $52 - $124 58%
San Francisco Health Plan $52 58%
Jade Health Care Mg $56 - $124 63%
Veterans Administration (Va) $80 - $88 90%
Self Pay $100 - $314 112%
Aetna $112 - $595 126%
Blue Shield Of California $112 - $443 126%
Brand New Day $112 - $158 126%
Care Advantage $112 - $124 126%
Chinese Community Health Plan $112 - $462 126%
For Your Benefit $112 - $124 126%
Healthnet Seniority $112 - $124 126%
Humana $112 - $124 126%
Imperial Health Plan $112 - $124 126%
Medicare (plans) $112 - $124 126%
Pacificare $112 - $124 126%
Tricare $113 - $126 127%
Apcmg $114 - $190 128%
Canopy Health $114 - $227 128%
Covid-19 Uninsured Program $114 - $126 128%
UnitedHealthcare $114 - $132 128%
Easy Choice Hospital Services $116 - $129 130%
Central Health Plan $121 - $134 136%
Ahmc Health $142 - $158 160%
Knox-Keene Act $142 - $158 160%
Athens Administrators $156 - $168 175%
Corvel Healthcare $156 - $168 175%
Multiplan/Bce Emergis $156 - $693 175%
Work Comp Other $156 - $168 175%
Interplan Corporation $399 - $554 449%
Cigna $448 504%
Healthcare Foundation Of San Mateo $466 - $693 524%
Private Healthcare Sytems Inc $499 - $693 561%
The First Health Network $499 - $693 561%
Health Net $510 - $709 574%
Beech Street Corporation $532 - $739 598%
Choicecare Network $565 - $785 635%
Multiplan $565 - $785 635%
Mills Peninsula Health Services $598 - $832 673%
Indemnity $665 - $924 748%
Workers Compensation Federal $665 - $924 748%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals