CMS Price Transparency Data

X-ray, hip

Facility: St Alexius Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $115
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at St Alexius Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 1555 N Barrington Rd, Hoffman Estates, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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%)
Insurance Median: $115 (129%)
Ins. Median: $115 (129% 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
Aarp $87 98%
UnitedHealthcare $87 - $93 98%
Aetna $90 - $134 101%
Blue Cross Blue Shield $92 - $162 103%
Covid-19 Uninsured $92 103%
Humana $92 - $169 103%
Medicare (plans) $92 - $95 103%
Molina Healthcare Of Illinois $95 107%
Bright Health $115 129%
Cigna $127 - $132 143%
Smarthealth $129 145%
County Care $134 151%
Harmony Health Plan $134 151%
Illinicare $134 151%
Medicaid / KanCare $134 151%
Meridian $134 151%
Actin Care $142 160%
Ambetter / Centene $149 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1555 N Barrington Rd, Hoffman Estates, IL 60169
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals