CMS Price Transparency Data

X-ray, hip

Facility: Rochelle Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $354
  • Cash Discount Price: $457
  • vs. Medicare Baseline: 3.98x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Rochelle Community Hospital is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.98x the Medicare baseline. Located in 900 N 2Nd St, Rochelle, IL.
Cash / Self-Pay
$457

Average discount available for prompt cash payment at this facility.

Insurance Median
$354

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: $457 (514%)
Insurance Median: $354 (398%)
Cash: $457 (514% of Medicare)
Ins. Median: $354 (398% 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 398% of the Medicare baseline (a markup of 298%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $97 - $228 109%
Blue Cross Blue Shield $97 - $457 109%
Medicaid / KanCare $97 109%
Health Alliance Mcr Adv $160 180%
Humana $160 - $366 180%
UnitedHealthcare $160 - $411 180%
Va Ccn - All Plans $160 180%
Wellcare Mcr Adv - All Plans $163 183%
Cigna $343 386%
Osf Dan Ppo - All Plans $343 386%
Beech Street-All Plans $366 412%
First Health - All Plans $366 412%
Health Alliance-All Other Plans $366 412%
Ecoh-All Plans $388 436%
Hfn-All Plans $388 436%
The Alliance-All Plans $388 436%
Quartz Health Solutions-All Plans $402 452%
Multiplan-All Plans $430 484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 N 2Nd St, Rochelle, IL 61068
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals