CMS Price Transparency Data

X-ray, hip

Facility: Gunnison Valley Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $266
Cash Discount Price: $334
vs. Medicare Baseline: 2.99x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Gunnison Valley Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.99x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$334

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $334 (376%)

Insurance Median: $266 (299%)

Cash: $334 (376% of Medicare)

Ins. Median: $266 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Cigna	$9 - $405	10%
Medicare (plans)	$11 - $202	12%
Aetna	$15 - $396	17%
Apostrophe-All Plans	$17 - $372	19%
Gunnison County Sheriff Op & Profee Only	$33 - $212	37%
Ebms Hdhp	$38 - $248	43%
Tetwp Op & Profee Only-All Plans	$38 - $248	43%
U Of Co Transplant-All Plans	$38 - $248	43%
Medicaid / KanCare	$41 - $76	46%
Ebms Ppo Plan-All Other Plans	$45 - $289	51%
Gunnison County Employees-All Other Plans	$51 - $330	57%
Scottish Rites-All Plans	$51 - $330	57%
Elap Employers-All Plans	$54 - $351	61%
Blue Cross Blue Shield	$56 - $362	63%
Multiplan-All Plans	$57 - $384	64%
Cofinity-All Plans	$61 - $396	69%
Rocky Mountain Health-All Plans	$61 - $392	69%
UnitedHealthcare	$61 - $392	69%
Gunnison County Coroner Op Only	$202 - $212	227%

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 $334.
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 Gunnison Valley 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.