CMS Price Transparency Data

X-ray, hip

Facility: Casa Colina Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $112
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Casa Colina Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $146 (164%)
Insurance Median: $112 (126%)
Cash: $146 (164% of Medicare)
Ins. Median: $112 (126% 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
Heritage Prvdr Ntwrk Comm - All Other Plans $24 - $104 27%
Heritage Prvdr Ntwrk Mcr $24 - $104 27%
Healthnet Comm - All Other Plans $25 - $107 28%
Aetna $31 - $134 35%
Corvel - All Plans $31 - $130 35%
Coventry - All Plans $31 - $130 35%
Humana $31 - $130 35%
Multiplan - All Plans $31 - $130 35%
Three Rivers - All Plans $31 - $130 35%
UnitedHealthcare $31 - $130 35%
Blue Cross Blue Shield $36 - $153 40%
Brand New Day Mcr Adv - All Plans $37 - $156 42%
Galaxy Provdr Ntwrk - All Plans $43 - $182 48%
Blue Shield Comm - All Other Plans $45 - $193 51%
Healthcare Partners - All Other Plans $49 - $209 55%
Healthcare Partners Mcr $49 - $209 55%
Primecare Comm - All Other Plans $49 - $209 55%
Primecare Mcr Adv $49 - $209 55%
Prospect Med Grp Alta - All Plans $52 - $222 58%
Medi-Cal $53 60%
Kaiser Mcal $59 66%
Iehp Mcal $61 - $134 69%
Heritage Prvdr Ntwrk Mcal $90 101%
Prospect Hp Mcal $101 114%
Promed Hlth Ntwrk Op Only - All Plans $106 119%
Blue Shield Mcr Adv $112 126%
Caremore Mcr Adv - All Plans $112 126%
Central Hlth Plan - All Plans $112 126%
Doctors Managed Op Only - All Plans $112 126%
Empire Healthcare Op Only - All Plans $112 126%
Epic Comm - All Other Plans $112 126%
Epic Mcr Adv $112 126%
Focus Healthcare Wc - All Plans $112 126%
Healthnet Mcr Adv $112 126%
Iehp - All Other Plans $112 126%
Iehp Mcr Adv $112 126%
Kaiser Comm - All Other Plans $112 126%
Kaiser Mcr Adv $112 126%
Premiercare Op Only - All Plans $112 126%
Prospect Hp Mcr Adv $112 126%
Triwest - All Plans $112 126%
Wellcare Mcr Adv - All Plans $112 126%
Prospect Hp Comm - All Other Plans $123 138%
Affiliated Hlth Funds - All Plans $140 157%
Cigna $214 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals