CMS Price Transparency Data

X-ray, hip

Facility: St Lucie Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $540
Cash Discount Price: $2,075
vs. Medicare Baseline: 6.07x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at St Lucie Medical Center is $540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,075. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.07x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.

Cash / Self-Pay

$2,075

Average discount available for prompt cash payment at this facility.

Insurance Median

$540

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: $2,075 (2334%)

Insurance Median: $540 (607%)

Cash: $2,075 (2334% of Medicare)

Ins. Median: $540 (607% 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 607% of the Medicare baseline (a markup of 507%). 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
Freedom Health	$178 - $332	200%
Optimum	$178	200%
United	$182 - $934	205%
Avmed	$270 - $1,038	304%
Simply Healthcare Plans	$270	304%
Molina	$394 - $560	443%
Health Sun Health Plan	$442	497%
Corvel Corporation	$452	508%
Careworks (Rockport)	$462	520%
Prime Health	$462	520%
Sunshine State Health Plan	$529	595%
Aetna	$622	700%
Humana	$768 - $830	864%
United Ppo	$913	1027%
Plotkin Health	$1,038	1167%
Prime Health Sherriff	$1,038	1167%
Multiplan	$1,556 - $1,764	1750%

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 $2,075.
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 St Lucie Medical Center 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.