CMS Price Transparency Data

X-ray, hip

Facility: Iowa Specialty Hospital - Clarion

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $62
Cash Discount Price: $60
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Iowa Specialty Hospital - Clarion is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 1316 South Main Street, Clarion, IA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $60 (67%)

Insurance Median: $62 (70%)

Cash: $60 (67% of Medicare)

Ins. Median: $62 (70% 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
Tricare	$10 - $46	11%
Triwest Va - All Plans	$10 - $46	11%
Aetna	$11 - $126	12%
Health Partners Ish-All Other Plans	$15 - $118	17%
Healthscope Stellar-All Plans	$17 - $78	19%
Wellmark Hmo	$21 - $109	24%
Wellmark Ppo - All Other Plans	$23 - $120	26%
UnitedHealthcare	$28 - $141	31%
Auxiant Clarion Schools-All Plans	$33 - $96	37%
Health Partners Prestage	$38 - $111	43%
Cigna	$93 - $144	105%
Midlands Choice-All Plans	$93 - $144	105%

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 $60.
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 Iowa Specialty Hospital - Clarion 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.