CMS Price Transparency Data

X-ray, hip

Facility: Kossuth Regional Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $253
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Kossuth Regional Health Center is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.85x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$253

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: $266 (299%)
Insurance Median: $253 (285%)
Cash: $266 (299% of Medicare)
Ins. Median: $253 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Blue Cross Blue Shield $69 - $76 78%
Mercy One - All Plans $127 143%
Va Ccn - All Plans $127 143%
Humana $128 144%
Amerigroup Mcr Adv - All Other Plans $129 145%
UnitedHealthcare $130 - $253 146%
Health Partners New Bus - All Other Plans $233 262%
Midlands Choice - All Plans $233 262%
Medical Associates - All Plans $283 318%
Preferred Health - All Plans $283 318%
Aetna $310 - $323 349%
Multiplan - All Plans $316 355%
Health Partners Exisiting Bus $323 363%
Molina Mcaid/Chip - All Plans $343 386%
Amerigroup Mcaid $346 389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals