CMS Price Transparency Data

X-ray, hip

Facility: Buchanan County Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $379
  • Cash Discount Price: $388
  • vs. Medicare Baseline: 4.26x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Buchanan County Health Center is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $388. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.26x the Medicare baseline. Located in 1600 First St East, Independence, IA.
Cash / Self-Pay
$388

Average discount available for prompt cash payment at this facility.

Insurance Median
$379

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: $388 (436%)
Insurance Median: $379 (426%)
Cash: $388 (436% of Medicare)
Ins. Median: $379 (426% 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 426% of the Medicare baseline (a markup of 326%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $160 - $456 180%
Molina Healthcare $160 - $456 180%
Wellpoint Iowa $160 - $456 180%
Aetna $164 - $456 184%
Blue Cross Blue Shield $164 - $456 184%
Champus $164 - $456 184%
Health Partners $164 - $456 184%
Humana $164 - $456 184%
UnitedHealthcare $164 - $456 184%
Cigna $379 426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 First St East, Independence, IA 50644
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals