CMS Price Transparency Data

X-ray, hip

Facility: Johnson Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $128
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Johnson Memorial Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $185 (208%)
Insurance Median: $128 (144%)
Cash: $185 (208% of Medicare)
Ins. Median: $128 (144% 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
Blue Cross Blue Shield $96 - $124 108%
Connecticut Dept Of Correction $96 108%
Aetna $102 - $128 115%
Medicare (plans) $102 - $107 115%
UnitedHealthcare $102 - $337 115%
Cca Senior Care Options $104 117%
Cigna $105 - $308 118%
Bcn Domestic $124 139%
Blue Benefit Administrators Of Massachusetts $124 139%
Blue Care Network $124 139%
Blue Distinction Transplant $124 139%
Blue Shield - Ca $124 139%
Blue Shield - Id (Regence) $124 139%
Blue Shield - Ny Highmark Northeastern $124 139%
Blue Shield - Ny Highmark Western $124 139%
Blue Shield - Pa (Highmark) $124 139%
Blue Shield - Wa (Regence) $124 139%
Health Choices $124 139%
Kaiser Domestic $124 139%
Pre-Employment $124 139%
Unicare $124 139%
Wc Domestic $124 139%
Wellpoint $124 139%
1199 National Benefit Fund $128 144%
Allied Benefit Systems $128 144%
Geha $128 144%
Gravie Admin Services $128 144%
Hap $128 144%
Harvard Pilgrim Healthcare $128 144%
Luminare Health $128 144%
Meritain $128 144%
Nippon Life Ins $128 144%
Webtpa $128 144%
Fallon Health $136 153%
Connecticare $177 - $221 199%
Claimdoc $219 246%
Diversified Administrators $219 246%
Health New England $219 246%
Innovative Health Plan Ii $219 246%
Centivo $243 273%
Prime Health Services $270 304%
Allied National Global Care $280 315%
Asrm - Reliance Standard Life Insurance $280 315%
Christian Care Ministry $280 315%
Dean Health $280 315%
Family Life Insurance Company $280 315%
Ghc Scw $280 315%
International Benefit Administrators $280 315%
Lifetime Benefit Solutions $280 315%
Manhattan Life $280 315%
Medi Share $280 315%
Multiplan $280 315%
Mvp $280 315%
Pai $280 315%
Pan-American Life $280 315%
Paramount Hmo $280 315%
Phcs $280 315%
Trinity Health Share $280 315%
Health Smart $286 322%
Allegiance $308 346%
Health Partners $308 346%
Magnacare $308 346%
United Behavioral Health Eap $337 379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals