CMS Price Transparency Data

X-ray, hip

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $523
  • Cash Discount Price: $458
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Ann & Robert H Lurie Childrens Hospital of Chicago is $523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.88x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$458

Average discount available for prompt cash payment at this facility.

Insurance Median
$523

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: $458 (515%)
Insurance Median: $523 (588%)
Cash: $458 (515% of Medicare)
Ins. Median: $523 (588% 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 588% of the Medicare baseline (a markup of 488%). 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
Medicare (plans) $111 - $2,656 125%
Mercycare Health $242 272%
Cigna $275 - $464 309%
Blue Cross Blue Shield $283 - $523 318%
Aetna $327 - $512 368%
Beacon Health Options $327 368%
La Rabida Childrens Hospital $327 368%
Centegra $392 441%
Independent Physicians At Mercy $392 441%
Advanced Physicians Association Ipa $458 515%
Health Plus $458 515%
Imagine Health $458 515%
Methodist First Choice $458 515%
Northwest Community Healthcare $458 515%
Presence Health Partners $458 515%
St. Francis $458 515%
Ui Health $458 515%
West Suburban Health Providers $458 515%
Shriners Hospital $490 551%
Swedish Covenant Physician Partners $490 551%
American Psych Systems $523 588%
Health Alliance $523 588%
Macneal Health $523 588%
Magellan $523 - $900 588%
Healthlink Inc. $540 607%
UnitedHealthcare $554 - $597 623%
Cofinity $556 625%
Hfn Inc $556 - $589 625%
Humana $556 625%
Principal Healthcare $556 625%
St. Elizabeth $556 625%
First Health $576 648%
Healthstar $576 648%
Preferred Health Network $576 648%
Sagamore Health Network $576 648%
Beech Street $589 662%
Benchmark Health $589 662%
Employer'S Coalition On Health $589 662%
Private Health Care System $589 662%
Security Health Plan $589 662%
Swedish American $589 662%
Wellmark/Healthnetwork $602 677%
Health Smart $621 698%
Integrated Health Plan $621 698%
Multiplan $621 698%
National Provider Network $621 698%
Wea Insurance Group $621 698%
Unicare $3,678 - $8,500 4137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens