CMS Price Transparency Data

X-ray, hip

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $137
Cash Discount Price: $282
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Kapiolani Medical Center for Women & Children is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.54x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $282 (317%)

Insurance Median: $137 (154%)

Cash: $282 (317% of Medicare)

Ins. Median: $137 (154% 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
Hmsa	$21 - $88	24%
UnitedHealthcare	$48	54%
Mdx	$56 - $88	63%
Hwmg/Hmaa	$74	83%
Alohacare	$88 - $97	99%
Kaiser	$88 - $414	99%
Devoted	$92	103%
Ohana	$106 - $137	119%
Uha	$235 - $352	264%
Verdegard	$322	362%
Mimoh	$329 - $352	370%
Calvos	$352	396%
Hcha	$376	423%
Multiplan	$376 - $400	423%
Mccp	$400	450%
Coventry	$423	476%

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 $282.
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 Kapiolani Medical Center for Women & Children 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.