CMS Price Transparency Data

X-ray, hip

Facility: Mercy Medical Center-New Hampton

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $323
Cash Discount Price: $222
vs. Medicare Baseline: 3.63x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Mercy Medical Center-New Hampton is $323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.63x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$323

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: $222 (250%)

Insurance Median: $323 (363%)

Cash: $222 (250% of Medicare)

Ins. Median: $323 (363% 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 363% of the Medicare baseline (a markup of 263%). 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
Blue Cross Blue Shield	$135	152%
Aetna	$137 - $323	154%
Medicare (plans)	$138 - $153	155%
UnitedHealthcare	$145 - $205	163%
Health Choices	$173	195%
Medical Associates	$173	195%
Amish Hospital Aid	$182	205%
Oscar	$201	226%
Geha	$205	231%
Ambetter / Centene	$230	259%
Iowa Total Care	$234	263%
Medicaid / KanCare	$237 - $238	267%
Claimdoc	$275	309%
Nova	$275	309%
1199 National Benefit Fund	$323	363%
Allied Benefit Systems	$323	363%
Asr Health Benefits	$323	363%
Coventry	$323	363%
First Health	$323	363%
Lucent Health	$323	363%
Luminare Health	$323	363%
Medical Mutual	$323	363%
Meritain	$323	363%
Trustmark Small Business Benefits	$323	363%
Webtpa	$323	363%
First Choice Health	$325	366%
Health Partners	$329	370%
Auxiant	$332	373%
Cigna	$332	373%
Medica	$332	373%
Midlands	$332	373%
Midlands Choice	$332	373%
Crime Victim Assistance	$342	385%
Iowa Dept Of Public Health	$342	385%

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 $222.
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 Mercy Medical Center-New Hampton 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.