CMS Price Transparency Data

X-ray, hip

Facility: Hamilton Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $171
Cash Discount Price: $189
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Hamilton Memorial Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $189 (213%)

Insurance Median: $171 (192%)

Cash: $189 (213% of Medicare)

Ins. Median: $171 (192% 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	$46 - $200	52%
Blue Cross Blue Shield	$46 - $203	52%
Health Alliance	$46 - $178	52%
Medicare (plans)	$46 - $89	52%
UnitedHealthcare	$46 - $159	52%
Wellcare	$46 - $89	52%
Medicaid / KanCare	$83 - $89	93%
Humana	$89	100%
Alliance Coal	$156	175%
Healthscope	$156	175%
Wellfirst (Ssmhic)	$156	175%
Hope Trust	$167	188%
Cigna	$175	197%
Hfn, Inc	$178 - $200	200%
Healthlink	$189 - $200	213%
Multiplan	$189	213%
Siho	$200	225%
Three Rivers Provider	$200	225%
Healthsmart	$211	237%
Stratose	$211	237%

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 $189.
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 Hamilton Memorial Hospital 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.