CMS Price Transparency Data

X-ray, hip

Facility: Saint Joseph Hospital-Elgin

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $93
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Saint Joseph Hospital-Elgin is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 77 N Airlite Street, Elgin, IL.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $92 (103%)
Insurance Median: $93 (105%)
Cash: $92 (103% of Medicare)
Ins. Median: $93 (105% 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
Ravenswood Physicians Associates Ipa $39 - $93 44%
Resurrection Physicians Provider Group Ipa $39 - $93 44%
Cigna $41 - $343 46%
Aetna $49 - $97 55%
Blue Cross Blue Shield $49 - $130 55%
Humana $49 - $102 55%
Medicaid / KanCare $49 - $51 55%
Meridian $51 - $97 57%
Molina $51 - $139 57%
Celtic (Wellcare) $93 105%
Clear Spring Health Of Illinois $93 105%
Devoted Health $93 105%
Essential Health Partners $93 - $107 105%
Longevity Health Plan Of Illinois $93 105%
Medicare (plans) $93 105%
Self-Pay $93 105%
Tricare $93 105%
United Behavioral $93 105%
UnitedHealthcare $93 - $205 105%
Zing Health Provider Network $96 108%
Providers Partners Health Plan (Pphp) $97 109%
Harmony Health Plan $98 110%
Access Community Health Network $111 125%
Clifton Health Systems $144 162%
Ambetter / Centene $150 169%
Imagine Health Network, Inc $232 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 77 N Airlite Street, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals