CMS Price Transparency Data

X-ray, hip

Facility: Mercyone Clinton Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $171
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercyone Clinton Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $224 (252%)
Insurance Median: $171 (192%)
Cash: $224 (252% of Medicare)
Ins. Median: $171 (192% 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.

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
Iowa Total Care $80 90%
Medicaid / KanCare $81 91%
Bcn Domestic $89 100%
Blue Benefit Administrators Of Massachusetts $89 100%
Blue Care Network $89 100%
Blue Cross Blue Shield $89 - $92 100%
Blue Distinction Transplant $89 100%
Blue Shield - Ca $89 100%
Blue Shield - Id (Regence) $89 100%
Blue Shield - Ny Highmark Northeastern $89 100%
Blue Shield - Ny Highmark Western $89 100%
Blue Shield - Pa (Highmark) $89 100%
Blue Shield - Wa (Regence) $89 100%
Kaiser Domestic $89 100%
Pre-Employment $89 100%
Wc Domestic $89 100%
Aetna $91 - $302 102%
Medicare (plans) $91 - $94 102%
UnitedHealthcare $93 - $345 105%
Health Choices $98 110%
Medical Associates $98 110%
Preferred Health Choice $100 112%
Amish Hospital Aid $123 138%
Oscar $126 142%
Ambetter / Centene $156 175%
Claimdoc $186 209%
Nova $186 209%
Geha $195 219%
The Alliance $209 235%
1199 National Benefit Fund $302 340%
Allied Benefit Systems $302 340%
Asr Health Benefits $302 340%
Christian Brother Services $302 340%
Coventry $302 340%
First Health $302 340%
Lucent Health $302 340%
Luminare Health $302 340%
Medical Mutual $302 340%
Meritain $302 340%
Trustmark Small Business Benefits $302 340%
Webtpa $302 340%
Health Partners $303 341%
Auxiant $310 349%
Cigna $310 349%
Medica $310 349%
Midlands $310 349%
Midlands Choice $310 349%
Multiplan $310 349%
Qualcare $310 349%
Usa Managed Care $328 369%
Crime Victim Assistance $345 388%
Iowa Dept Of Public Health $345 388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals