CMS Price Transparency Data

X-ray, hip

Facility: Monroe County Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $176
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Monroe County Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.98x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $190 (214%)
Insurance Median: $176 (198%)
Cash: $190 (214% of Medicare)
Ins. Median: $176 (198% 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 $73 82%
Wellmark Ppo - All Other Plans $78 88%
Mahp Mcare - All Plans $123 - $174 138%
Tricare $123 - $174 138%
UnitedHealthcare $123 - $394 138%
Va Ccn - All Plans $123 - $174 138%
Amerigroup Mcare $125 - $176 141%
Humana $125 - $176 141%
Wellmark Mcare $125 - $176 141%
Aetna $126 - $390 142%
Iowa Total Care Mcaid - All Plans $147 - $207 165%
Molina Mcaid - All Plans $149 - $210 168%
Amerigroup Mcaid - All Other Plans $151 - $214 170%
Centivo - All Plans $185 - $261 208%
Midlands Choice - All Plans $206 - $290 232%
Preferred Hlth - All Plans $220 - $311 247%
Geha - All Plans $235 - $332 264%
Multiplan - All Plans $265 - $374 298%
Integrated Hp - All Plans $285 - $403 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6580 165Th Street, Albia, IA 52531
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals