CMS Price Transparency Data

X-ray, hip

Facility: Wabash General Hospital 1

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $215
Cash Discount Price: $542
vs. Medicare Baseline: 2.42x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Wabash General Hospital 1 is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $542. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.42x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$542

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

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: $542 (610%)

Insurance Median: $215 (242%)

Cash: $542 (610% of Medicare)

Ins. Median: $215 (242% 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 242% of the Medicare baseline (a markup of 142%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$73 - $726	82%
UnitedHealthcare	$77 - $668	87%
Health Alliance Mcr Adv - All Plans	$79 - $264	89%
Aetna	$136 - $709	153%
Meridian Mcaid - All Plans	$136	153%
Molina Mcaid - All Plans	$136	153%
Healthlink Hmo	$175 - $584	197%
Cigna	$187 - $626	210%
Encore Combined Ip/Op Only	$187 - $626	210%
Hope Trust - All Plans	$187 - $626	210%
Healthlink Ppo - All Other Plans	$200 - $668	225%
Phcs - All Plans	$200 - $668	225%
Health Smart - All Plans	$212 - $709	238%
Hfn - All Plans	$212 - $709	238%
Multiplan - All Plans	$212 - $709	238%
Siho Network - All Plans	$212 - $709	238%
Encore Health Network Ip/Op Only - All Other Plans	$225 - $751	253%

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 $542.
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 Wabash General Hospital 1 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.