CMS Price Transparency Data

X-ray, hip

Facility: North Shore Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $91
  • Cash Discount Price: $2,339
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at North Shore Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,339. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$2,339

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $2,339 (2631%)
Insurance Median: $91 (102%)
Cash: $2,339 (2631% of Medicare)
Ins. Median: $91 (102% 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
Aetna $28 - $1,684 31%
Humana $36 - $933 40%
Medicaid / KanCare $36 - $2,339 40%
UnitedHealthcare $36 - $85 40%
Avmed Broad Network $43 48%
Healthsun Health Plans $50 - $89 56%
Imagine Health $57 64%
Self Pay/Uninsured $59 - $107 66%
Employer Direct Healthcare $60 - $87 67%
Veterans Administration Mill Bill $60 67%
Oscar Health Plan Hix $67 75%
Medicare (plans) $77 - $2,339 87%
Devoted Health $85 96%
Leon Health Inc $85 96%
Tricare $86 97%
Hospice Other $87 98%
Veterans Administration Vaccn $87 98%
Cigna $89 - $1,170 100%
Longevity Health Plan $91 102%
Florida Pace Centers $102 115%
Bright Health Management Commercial $104 117%
Centurion Prison $107 120%
Bc/Bs Myblue Hmo Hix $144 162%
Avmed Exchange $152 171%
Bc/Bs Of Fl Simplyblue $152 171%
Ambetter / Centene $160 180%
Molina Marketplace Program Exchange $165 186%
Auto Insurance $173 195%
Avmed Select Network $177 199%
Amerihealth Caritas Next Exchange $186 209%
Bc/Bs Of Fl Network Blue $190 214%
Bc/Bs Of Fl Health Options Hmo $193 217%
Bc/Bs Of Fl Ppo $203 228%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 237%
Bc/Bs Of Fl Phs $1,213 1364%
Magellan Behavioral Health $1,403 1578%
Dimensions International $1,520 1710%
First Health $1,591 1789%
Dimension Health Ppo $1,754 1973%
Dimension Health Wc $1,754 1973%
Workers Compensation $1,754 1973%
Beacon Health Strategies Commercial $2,339 2631%
Commercial Non-Contracted $2,339 2631%
Self Pay - Mcd Pending 100 Percent $2,339 2631%
Single Case Agreement $2,339 2631%
United Behavioral Health Psych $2,339 2631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals