CMS Price Transparency Data

X-ray, hip

Facility: Jacksonville Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $359
Cash Discount Price: $653
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Jacksonville Memorial Hospital is $359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $653. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.04x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$653

Average discount available for prompt cash payment at this facility.

Insurance Median

$359

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: $653 (734%)

Insurance Median: $359 (404%)

Cash: $653 (734% of Medicare)

Ins. Median: $359 (404% 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 404% of the Medicare baseline (a markup of 304%). 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	$42 - $653	47%
Tricare	$43 - $119	48%
Coventry	$45 - $103	51%
Health Alliance	$45 - $444	51%
Humana	$45 - $557	51%
Medicare (plans)	$45 - $103	51%
UnitedHealthcare	$47 - $470	53%
Medicaid / KanCare	$110	124%
Molina Healthcare	$110	124%
Corvel/Corcare	$128 - $340	144%
Illinois Workers Compensation	$138 - $347	155%
Health Alliance Mh Employee Plan	$300	337%
Commercial Workers Compensation	$330	371%
Current Health Network	$359 - $490	404%
6 Degrees Health	$392	441%
Hope Trust	$392	441%
Hst	$392	441%
Cigna	$453	510%
Aetna	$456 - $522	513%
Healthlink	$555	624%
Phcs/Multiplan	$588	661%
Hfn	$620	697%
Liability	$653	734%

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 $653.
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 Jacksonville 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.