CMS Price Transparency Data

X-ray, hip

Facility: Adventist Health Vallejo

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $491
Cash Discount Price: $153
vs. Medicare Baseline: 5.52x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Adventist Health Vallejo is $491. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.52x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$491

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: $153 (172%)

Insurance Median: $491 (552%)

Cash: $153 (172% of Medicare)

Ins. Median: $491 (552% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 552% of the Medicare baseline (a markup of 452%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Mcr Adv	$11 - $88	12%
Medicare (plans)	$11 - $88	12%
Napa County Mcal Child	$11 - $88	12%
Tricare	$11 - $88	12%
Ah Employee Health Plan-All Plans	$12 - $158	13%
Interplan-All Plans	$13 - $866	15%
Kaiser-All Plans	$13 - $1,119	15%
Cigna	$14 - $1,066	16%
UnitedHealthcare	$14 - $849	16%
Aetna	$16 - $198	18%
Western Growers-All Plans	$16 - $706	18%
Phcs-All Plans	$26 - $733	29%
Medi-Cal	$37 - $53	42%
Health Management Network-All Plans	$40 - $1,132	45%
Three Rivers-All Plans	$42 - $1,199	47%
Va Medi-Cal	$53	60%
Healthnet-All Plans	$84	94%
Va Mcr-All Other Plans	$88	99%
Blue Shield Behav Hlth	$195 - $599	219%
Blue Shield Non-Epn-All Other Plans	$201 - $618	226%
Blue Shield Epn	$204 - $627	229%
Choicecare-All Plans	$304 - $932	342%
Beech Street-All Plans	$326 - $999	367%
Blue Cross Blue Shield	$330 - $396	371%
Galaxy Network-All Plans	$391 - $1,199	440%

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 $153.
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 Adventist Health Vallejo 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.