CMS Price Transparency Data

X-ray, hip

Facility: Bethesda Hospital East

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $248
Cash Discount Price: $667
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Bethesda Hospital East is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $667. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.79x the Medicare baseline. Located in 2815 S Seacrest Blvd, Boynton Beach, FL.

Cash / Self-Pay

$667

Average discount available for prompt cash payment at this facility.

Insurance Median

$248

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: $667 (750%)

Insurance Median: $248 (279%)

Cash: $667 (750% of Medicare)

Ins. Median: $248 (279% 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 279% of the Medicare baseline (a markup of 179%). 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
Amerigroup	$35	39%
Medicaid / KanCare	$35 - $39	39%
Sunshine State	$35	39%
UnitedHealthcare	$35 - $1,026	39%
Wellcare	$35	39%
Aetna	$37 - $548	42%
Vista	$37	42%
Blue Cross Blue Shield	$91 - $510	102%
Leon Medical	$91	102%
Medica Health Plan	$91	102%
Medicare (plans)	$91 - $123	102%
Cigna	$95 - $206	107%
Humana	$95	107%
Avmed	$100 - $507	112%
Non Contracted	$377	424%
Amerihealth	$462	520%
Affordable	$667	750%
International	$667	750%
Dimension Health Plan	$923	1038%
Phcs	$923	1038%
Quality Health	$923	1038%

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 $667.
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 Bethesda Hospital East 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.