CMS Price Transparency Data

X-ray, hip

Facility: Sarasota Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $57
Cash Discount Price: $286
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Sarasota Memorial Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.64x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$286

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $286 (322%)

Insurance Median: $57 (64%)

Cash: $286 (322% of Medicare)

Ins. Median: $57 (64% 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.

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
Simply Healthcare Oncology	$6 - $22	7%
Sunshine State Oncology	$6 - $22	7%
Amerihealth Caritas Oncology	$7 - $23	8%
Community Care Plan Oncology	$7 - $23	8%
Molina Oncology	$7 - $23	8%
Florida Community Care Oncology	$8 - $42	9%
Blue Cross Blue Shield	$10 - $88	11%
UnitedHealthcare	$11 - $709	12%
Wellcare Oncology	$11 - $37	12%
Aetna	$12 - $755	13%
Simply Freedom Optimum Oncology	$12 - $37	13%
Oscar Oncology	$18 - $58	20%
Ambetter / Centene	$28 - $239	31%
Simply Healthcare	$36 - $37	40%
Sunshine State	$37	42%
Molina	$38	43%
Amerihealth Caritas	$39	44%
Community Care Plan	$39	44%
Florida Community Care	$39 - $97	44%
Simply Freedom Optimum	$93	105%
Wellcare	$93	105%
Careworks	$251 - $481	282%
Enlyte	$251 - $481	282%
Avmed	$396 - $689	445%
Usa Managed Care	$434 - $755	488%
First Health	$450 - $784	506%

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 $286.
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 Sarasota Memorial 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.