CMS Price Transparency Data

X-ray, hip

Facility: Montclair Hospital Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $111
Cash Discount Price: $111
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Montclair Hospital Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 5000 San Bernardino Road, Montclair, CA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $111 (125%)

Insurance Median: $111 (125%)

Cash: $111 (125% of Medicare)

Ins. Median: $111 (125% 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.

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
Blue Shield Of Promise	$28	31%
Molina	$28 - $111	31%
Traditional Medi-Cal	$28	31%
Vantage Care	$28 - $111	31%
Health Net Of Ca	$30 - $163	34%
Inland Empire Healthplan	$40 - $139	45%
Blue Cross Blue Shield	$92	103%
Rios	$106	119%
Alignment	$111	125%
Central Health Plan	$111	125%
Choice Physicians Network	$111	125%
Citrus Valley Physicians Group	$111	125%
Elite Health Plan	$111	125%
Emanate Health	$111 - $223	125%
Epic Health Plan	$111	125%
Inland Empire Foundation For Medical Care	$111	125%
Medicare (plans)	$111	125%
Renal Payor Solution	$111	125%
Tricare	$111	125%
Brand New Day	$112 - $167	126%
Neighborhood	$114	128%
Imperial Health Plan Of Ca	$118	133%
Health Net Federal Services Prison (Cdcr)	$139	156%
Coventry Workers Compensation	$142	160%
Worker Compensation	$147	165%
Employer Direct Health Care	$156	175%

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 $111.
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 Montclair Hospital 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.