CMS Price Transparency Data

X-ray, hip

Facility: UW Health

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $46
Cash Discount Price: $25
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at UW Health is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $25 (28%)

Insurance Median: $46 (52%)

Cash: $25 (28% of Medicare)

Ins. Median: $46 (52% 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
Aetna	$23 - $664	26%
Blue Cross Blue Shield	$23 - $455	26%
Medicaid / KanCare	$23 - $31	26%
Humana	$35 - $89	39%
Medicare (plans)	$35 - $98	39%
Mychoice Wi Medical Adv	$35 - $89	39%
UnitedHealthcare	$35 - $707	39%
Wps	$43 - $77	48%
Ecoh	$48 - $725	54%
Hfn	$48 - $725	54%
Beloit Healt System	$50 - $831	56%
Quartz Aso	$53 - $503	60%
Quartz Fully Insured	$53 - $319	60%
Cigna	$55 - $735	62%
Mercy Care	$61 - $108	69%
Alliance Premier Network	$73 - $502	82%
The Alliance	$79 - $647	89%
Workers Comp	$82 - $154	92%
Wps Ppo	$712	801%
Mercycare	$859	966%
First Health/Coventry	$905	1018%
Health Payment Systems	$1,074	1208%
Healthsmart	$1,074	1208%
Sheboygan Employers Health Network	$1,146	1289%
Multiplan	$1,280	1440%

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 $25.
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 UW Health 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.