CMS Price Transparency Data

X-ray, hip

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $151
Cash Discount Price: $128
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Clearwater Valley Hospital & Clinics is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.70x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$128

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $128 (144%)

Insurance Median: $151 (170%)

Cash: $128 (144% of Medicare)

Ins. Median: $151 (170% 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
Humana	$10 - $300	11%
Nimiipuu Mcr Adv-All Plans	$10 - $169	11%
Regence Blue Shield Mcr	$10 - $167	11%
Veterans Amin-All Plans	$10 - $167	11%
Pacific Source - All Plans	$11 - $167	12%
Blue Cross Blue Shield	$12 - $226	13%
Aetna	$16 - $287	18%
UnitedHealthcare	$19	21%
Cigna	$21 - $278	24%
Idaho Phys Network-All Plans	$31 - $294	35%
First Choice-All Plans	$32 - $303	36%
Geha-All Plans	$32 - $303	36%
Multiplan / Phcs-All Plans	$32 - $300	36%
Corizon Correctnal Med-All Plans	$48 - $226	54%
Regence Blue Shield-All Other Plans	$309	348%

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 $128.
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 Clearwater Valley Hospital & Clinics 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.