CMS Price Transparency Data

X-ray, hip

Facility: Nemours Childrens Hospital, Florida

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $143
Cash Discount Price: $290
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Nemours Childrens Hospital, Florida is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.61x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $290 (326%)

Insurance Median: $143 (161%)

Cash: $290 (326% of Medicare)

Ins. Median: $143 (161% 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
Truli	$71 - $116	80%
Florida Blue	$79 - $177	89%
Tricare	$88	99%
Avmed	$90	101%
Employers Health Network Fl	$116	130%
Cigna	$117 - $161	132%
Aetna	$128 - $153	144%
Evolutions Healthcare	$130	146%
Integra Administrative Group	$174	196%
Global Medical Management	$188	211%
Prime Health Services	$188	211%
Star Healthcare Network	$188	211%
Velocity	$218	245%
First Health Network	$226	254%
Pnoa	$232	261%
Seminole Tribe Of Fl	$232	261%
UnitedHealthcare	$257	289%
Private Healthcare Systems	$267	300%

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 $290.
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 Nemours Childrens Hospital, Florida 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.