CMS Price Transparency Data

X-ray, hip

Facility: Good Samaritan Medical Center LLC

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $230
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.59x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Good Samaritan Medical Center LLC is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.59x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

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%)

Insurance Median: $230 (259%)

Ins. Median: $230 (259% 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 259% of the Medicare baseline (a markup of 159%). 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
Aarp	$88	99%
Kaiser Snp	$88	99%
Select Health	$88	99%
UnitedHealthcare	$88 - $317	99%
Kaiser Perm Hmo	$101 - $230	114%
Kaiser Self Funded	$126 - $230	142%
Aetna	$127 - $490	143%
Kaiser Perm Ppo/Pos	$127 - $237	143%
Allegiance	$136	153%
Cigna	$136 - $546	153%
Geha	$139 - $317	156%
Preferred One	$139 - $218	156%
Blue Cross Blue Shield	$217 - $460	244%
Humana	$229	258%
Denv Hlth Med Plan	$230	259%
Cofinity	$393	442%
First Health Network	$393	442%
Private Hlthcare Sys	$409	460%
Multiplan Inc	$464	522%

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 $X.
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 Good Samaritan Medical Center LLC 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.