CMS Price Transparency Data

X-ray, hip

Facility: Jefferson County Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $107
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Jefferson County Health Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.20x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $153 (172%)
Insurance Median: $107 (120%)
Cash: $153 (172% of Medicare)
Ins. Median: $107 (120% 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 $59 66%
Wellmark Indemnity/Ppo - All Other Plans $65 73%
UnitedHealthcare $87 - $230 98%
Tricare $99 111%
Amerigroup Mcr Adv $102 115%
Humana $102 115%
Iowa Total Care Comm - All Other Plans $102 115%
Iowa Total Care Mcr $102 115%
Molina Mcr Adv $102 115%
Iowa Total Care Mcaid $107 120%
Molina Mcaid/Chip $107 120%
Medicaid / KanCare $109 123%
Aetna $125 - $230 141%
Medicare (plans) $125 141%
Midlands New Product $209 235%
Coventry Commercial Hmo $217 244%
Coventry Commercial Ppo - All Other Plans $230 259%
Midlands Choice-All Other Plans $230 259%
Molina Marketplace - All Other Plans $255 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals