CMS Price Transparency Data

X-ray, hip

Facility: West Kendall Baptist Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $390
  • Cash Discount Price: $667
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at West Kendall Baptist Hospital is $390. 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 4.39x the Medicare baseline. Located in 9555 Sw 162 Ave, Miami, FL.
Cash / Self-Pay
$667

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

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: $390 (439%)
Cash: $667 (750% of Medicare)
Ins. Median: $390 (439% 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 439% of the Medicare baseline (a markup of 339%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $34 38%
Medicaid / KanCare $34 - $38 38%
Sunshine State $36 40%
UnitedHealthcare $36 - $1,026 40%
Wellcare $36 40%
Aetna $37 - $821 42%
Vista $37 42%
Medicare (plans) $91 - $123 102%
Blue Cross Blue Shield $94 - $665 106%
Medica Health Plan $97 109%
Humana $99 111%
Avmed $100 - $500 112%
Leon Medical $102 115%
Cigna $104 - $821 117%
Non Contracted $377 424%
Amerihealth $462 520%
International $667 750%
Dimension Health Plan $770 - $923 866%
Affordable $923 1038%
Phcs $923 1038%
Quality Health $923 1038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals