CMS Price Transparency Data

X-ray, hip

Facility: Boone County Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $73
Cash Discount Price: $173
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Boone County Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.82x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $173 (195%)

Insurance Median: $73 (82%)

Cash: $173 (195% of Medicare)

Ins. Median: $73 (82% 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.

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
Amerigroup Mcr Adv - All Other Plans	$33 - $146	37%
Choice Care Mcr Adv - All Plans	$33 - $144	37%
Humana	$33 - $316	37%
Iowa Hlth Adv - All Plans	$33 - $144	37%
Mt Carmel Hp - All Plans	$33 - $144	37%
UnitedHealthcare	$33 - $206	37%
Va Ccn-All Plans	$33	37%
Aetna	$34 - $274	38%
Meridian Mcaid - All Plans	$36 - $158	40%
Iowa Total Care Mcaid - All Plans	$37 - $161	42%
Medicaid / KanCare	$37 - $163	42%
Healthsmart Accell Network	$56 - $246	63%
Wellmark Hmo	$58	65%
Medical Associates Hp-All Plans	$60	67%
Healthsmart Ppo - All Other Plans	$64 - $281	72%
Wellmark Ppo - All Other Plans	$64	72%
Health Alliance-All Plans	$72 - $316	81%
Midlands Choice-All Plans	$74	83%
Mutually Preferred-All Plans	$76 - $334	85%
Tricare	$89	100%

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 $173.
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 Boone County Hospital 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.