CMS Price Transparency Data

X-ray, hip

Facility: Jay Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $118
Cash Discount Price: $78
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Jay Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $78 (88%)

Insurance Median: $118 (133%)

Cash: $78 (88% of Medicare)

Ins. Median: $118 (133% 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
Wellcare	$19 - $114	21%
Aetna	$36 - $247	40%
Cha Health Plan	$36	40%
Simply Healthcare Healthy Kids	$36	40%
Humana	$37 - $114	42%
Staywell	$37	42%
Sunshine Health	$37	42%
UnitedHealthcare	$55 - $128	62%
Fl Community Care Ltc	$59	66%
Medicare (plans)	$78	88%
Bc Fl	$114	128%
Fl Blue	$186 - $488	209%
Hospice Emerald Coast	$259	291%
Hospice Regency	$259	291%
Hospice Vitas	$259	291%
Cigna	$287 - $518	323%
Private Healthcare	$337	379%
First Health	$367	413%
Wc Corvel	$369 - $492	415%
Multiplan	$461	519%

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 $78.
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 Jay 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.