CMS Price Transparency Data

X-ray, hip

Facility: Whittier Hospital Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $134
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Whittier Hospital Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.51x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $114 (128%)
Insurance Median: $134 (151%)
Cash: $114 (128% of Medicare)
Ins. Median: $134 (151% 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 $11 - $610 12%
Capnet $34 38%
Ahmc Medi-Cal Reciprocity Agreement $37 42%
Aids Healthcare Foundation $37 - $110 42%
Allied Physicians $37 - $168 42%
Alta Med Health Network $37 - $110 42%
Altamed Health Services Corporation $37 42%
Avanti $37 - $134 42%
Beverly Hospital $37 - $123 42%
Brand New Day $37 - $138 42%
Care First Health Plan $37 42%
County Of Los Angeles Dept Of Health Services $37 42%
Emanate Health $37 - $138 42%
Health Net $37 - $504 42%
Healthy Way La $37 42%
Heritage Provider Network $37 - $151 42%
Hollywood Presbyterian Adv Med Mcal $37 42%
Hollywood Presbyterian Medpoint Mcal $37 42%
Kaiser Foundation $37 - $590 42%
La Care Healthy Families/Healthy Kids $37 42%
Medi Caid/ Medi Cal $37 42%
Non Contracted Medi-Cal $37 42%
Pacific Independent Physician Association $37 - $253 42%
Prospect Health Plan $37 - $179 42%
Synermed $37 - $112 42%
Aetna $42 - $614 47%
La Care Health Plan $43 - $464 48%
Caloptima $52 - $110 58%
Monarch Healthplan $52 58%
Applecare Medical Group $54 61%
Alliance Imaging $75 84%
Veterans Administration $78 88%
Physician Healthways $84 94%
Alta Los Angeles Hospitals Inc $110 124%
Apa/Aco Inc $110 124%
Central Health Plan $110 124%
Easy Choice Health Plan $110 124%
Humana $110 124%
Medicare (plans) $110 - $116 124%
Pacificare Of California $110 124%
Scan Health Plan $110 124%
Blue Shield Of California $112 - $422 126%
Caremore $112 126%
Cov19 Hrsa Uninsured Testing And Treatment Fund $112 126%
La Care Covered Direct $112 126%
Pacific Alliance Medical Center $112 126%
Private Pay $112 126%
Self-Pay $112 126%
Tricare $112 126%
Alignment Health Plan $116 130%
Molina Healthcare Of California $116 130%
San Miguel Health Plan $123 138%
UnitedHealthcare $132 - $814 148%
Chinatown Service Center Pace $134 151%
Ahmc Health $140 157%
Knox-Keene Act $140 157%
Molina Medical Center $140 - $329 157%
Fmc Los Angeles County $141 - $632 159%
Interplan Health Group $144 162%
Athens Administrators Ahmc Work Comp $149 168%
Misc 1 $149 168%
Multiplan Wc $149 168%
Cigna $199 224%
Physicians Healthways Medical Corporation $211 237%
Ahmc Reciprocity $253 285%
Ahmc Reciprocity Agreement Senior/Commercial $253 285%
Wear And Wood $253 - $337 285%
Health Net Inc $274 - $548 308%
Edward Medical Group $295 332%
Healthnet $336 - $585 378%
Central Health Plan Of California $337 379%
Allied Physicians Ipa $379 426%
Prospect Medical $464 522%
Care 1St Health Plan $506 569%
New Horizon Medical Group Inc $506 569%
Cost Containment $548 616%
Davita Healthcare Partners $548 616%
Universal Care $548 - $590 616%
Asi/Flex $590 664%
Us Comp Care $590 664%
Value Healthplan Of California $590 664%
Community Care Network $632 711%
Coventry Health Care $632 711%
Coventry Health Care National Network $632 711%
Interplan Corporation $632 711%
Managed Care Administrators $632 711%
Prohealth $632 711%
Multiplan $717 806%
Commercial Non Contract $843 948%
Medi-Cal Sub Acute $843 948%
One Legacy $843 948%
Great-West Healthcare Of California $2,500 2812%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9080 Colima Rd, Whittier, CA 90605
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals