CMS Price Transparency Data

X-ray, hip

Facility: Mercyone Dyersville Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $283
Cash Discount Price: $222
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Mercyone Dyersville Medical Center is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.18x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$283

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: $222 (250%)

Insurance Median: $283 (318%)

Cash: $222 (250% of Medicare)

Ins. Median: $283 (318% 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 318% of the Medicare baseline (a markup of 218%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Choices	$129	145%
Blue Cross Blue Shield	$190	214%
Medicare (plans)	$193 - $211	217%
UnitedHealthcare	$203 - $239	228%
The Alliance	$208	234%
Iowa Total Care	$237	267%
Geha	$239	269%
Medicaid / KanCare	$241 - $242	271%
Amish Hospital Aid	$255	287%
1199 National Benefit Fund	$283	318%
Aetna	$283	318%
Allied Benefit Systems	$283	318%
Asr Health Benefits	$283	318%
Christian Brother Services	$283	318%
Coventry	$283	318%
First Health	$283	318%
Luminare Health	$283	318%
Medical Mutual	$283	318%
Meritain	$283	318%
Trustmark Small Business Benefits	$283	318%
Webtpa	$283	318%
Auxiant	$308	346%
Cigna	$308	346%
Medica	$308	346%
Midlands	$308	346%
Midlands Choice	$308	346%
Multiplan	$308	346%
Ambetter / Centene	$322	362%
Crime Victim Assistance	$342	385%
Iowa Dept Of Public Health	$342	385%
Claimdoc	$385	433%
Nova	$385	433%

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 $222.
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 Mercyone Dyersville Medical Center 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.