CMS Price Transparency Data

X-ray, hip

Facility: St Joseph Health System, LLC

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $64
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at St Joseph Health System, LLC is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.72x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $28 (31%)
Insurance Median: $64 (72%)
Cash: $28 (31% of Medicare)
Ins. Median: $64 (72% 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.

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
Amish Aid $7 - $209 8%
Self Pay $7 - $480 8%
Php $8 - $348 9%
Lutheran Preferred $9 - $523 10%
Php Freedom Network $9 - $141 10%
Cigna $10 - $872 11%
Blue Cross Blue Shield $11 - $378 12%
Aetna $14 - $593 16%
Lutheran Network $14 - $480 16%
Three Rivers $14 - $392 16%
Encore Ppo $15 - $785 17%
Sagamore $16 - $472 18%
Multiplan $21 - $680 24%
First Health $22 - $654 25%
Prime Health Services $22 - $654 25%
Align Network $24 - $698 27%
Frontpath Health Coalition $24 - $698 27%
Advantage Health Solutions $25 - $724 28%
Allied Benefit Systems $27 - $785 30%
Medical Mutual Of Ohio $30 - $872 34%
Parkview Healthplan Services $30 - $872 34%
Value Options $30 - $872 34%
Veterans Eval Services $30 - $81 34%
UnitedHealthcare $33 - $434 37%
Spreemo $41 46%
Caresource $81 91%
Humana $81 - $91 91%
Managed Health Services $81 - $184 91%
Medicaid / KanCare $81 91%
Tricare $87 98%
Medicare (plans) $91 102%
Department Of Veterans Affairs $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Encore Work Comp In $166 187%
Work Comp $184 207%
Encore Kba Epo $221 249%
Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals