CMS Price Transparency Data

X-ray, hip

Facility: Mayers Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $167
Cash Discount Price: $201
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Mayers Memorial Hospital is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.88x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $201 (226%)

Insurance Median: $167 (188%)

Cash: $201 (226% of Medicare)

Ins. Median: $167 (188% 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 Ca Va	$10 - $136	11%
Blue Shield Mcr Adv	$10 - $136	11%
Tricare	$10 - $143	11%
Health Net Mcr Adv	$11 - $143	12%
Arcadian Health Services-All Plans	$12 - $143	13%
Imperial Health Plan-All Plans	$12 - $161	13%
Cigna	$28 - $206	31%
Corvel Ppo-All Plans	$28 - $206	31%
Coventry/First Health-All Plans	$28 - $206	31%
Integrated Hp-All Plans	$28 - $206	31%
Interplan-All Plans	$28 - $206	31%
Medi-Cal	$30 - $53	34%
Blue Cross Blue Shield	$134 - $185	151%
Health Net Prison	$145 - $156	163%
Blue Shield Ca Exchange	$172 - $185	193%
Blue Shield-All Other Plans	$191 - $206	215%
Hmn-All Plans	$191 - $206	215%
Multiplan Phcs-All Plans	$191 - $206	215%
Pfmc-All Plans	$191 - $206	215%
Superior Ca-All Plans	$191 - $206	215%
Health Net-All Other Plans	$200 - $215	225%
Pacificare-All Plans	$201 - $216	226%
Partnership Hp-All Plans	$201 - $214	226%

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 $201.
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 Mayers Memorial Hospital 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.