CMS Price Transparency Data

X-ray, hip

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $513
Cash Discount Price: $748
vs. Medicare Baseline: 5.77x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Children's Healthcare of Atlanta at Scottish Rite is $513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $748. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.77x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$748

Average discount available for prompt cash payment at this facility.

Insurance Median

$513

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: $748 (841%)

Insurance Median: $513 (577%)

Cash: $748 (841% of Medicare)

Ins. Median: $513 (577% 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 577% of the Medicare baseline (a markup of 477%). 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
Peachstate [43]	$313	352%
Caresource [61]	$321	361%
Amerigroup [102]	$324	364%
Cigna	$494	556%
Blue Cross Blue Shield	$496 - $730	558%
United [5]	$496	558%
Ambetter / Centene	$501	563%
Oscar [228]	$501	563%
Aetna	$503	566%
Caresource Marketplace Bronze/Silver/Gold [60]	$508	571%
Kaiser [6]	$509	572%
Sidecar Health [236]	$516	580%
Direct Employer Agreements [72]	$524 - $636	589%
Coventry [9]	$525	590%
First Health [74]	$561	631%
Northeast Georgia Heatlh System [808]	$561	631%
Veracity Benefits [809]	$561	631%
Phcs [93]	$636	715%
Secure Health [340]	$636	715%
Beech Street [71]	$673	757%
Multiplan [92]	$733	824%
Novanet [41]	$748	841%

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 $748.
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 Children's Healthcare of Atlanta at Scottish Rite 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.