CMS Price Transparency Data

X-ray, hip

Facility: Franklin General Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $108
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Franklin General Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $230 (259%)
Insurance Median: $108 (121%)
Cash: $230 (259% of Medicare)
Ins. Median: $108 (121% 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
Wellmark Hmo $60 67%
Wellmark Ppo - All Other Plans $65 73%
Medical Associates Mcare $102 115%
Mount Carmel Hp-All Plans $102 115%
Tricare $102 115%
UnitedHealthcare $102 - $212 115%
Amerigroup Mcare $103 116%
Wellmark Mcr Adv $103 116%
Molina Mcare $106 119%
Ambetter / Centene $107 - $163 120%
American Hp Iowa - All Plans $107 120%
Amerigroup Mcaid - All Other Plans $108 121%
Molina Mcaid - All Other Plans $108 121%
Centivo - All Plans $153 172%
Medical Ass Hosp Employer Group $153 172%
Oscar - All Plans $153 172%
Midlands Choice-All Plans $178 200%
Medical Associates Hp-All Other Plans $217 244%
Preferred Health Choices-All Plans $217 244%
Splashlight Llc-All Plans $217 244%
Aetna $237 - $242 267%
Multiplan-All Plans $242 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1720 Central Avenue East, Hampton, IA 50441
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals