CMS Price Transparency Data

X-ray, hip

Facility: Bluffton Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $92
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Bluffton Regional Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $134 (151%)
Insurance Median: $92 (103%)
Cash: $134 (151% of Medicare)
Ins. Median: $92 (103% 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 - $251 8%
Physicians Health Plan $7 - $253 8%
Self Pay $7 - $575 8%
Lutheran Preferred Network $9 - $836 10%
Php Freedom Network $9 - $141 10%
Cigna $10 - $370 11%
Php $10 - $333 11%
Aetna $11 - $466 12%
Lutheran Trma $12 - $470 13%
Php Management Systems $12 - $405 13%
UnitedHealthcare $14 - $516 16%
Encore Ppo $15 - $511 17%
Sagamore Sebt $15 - $534 17%
Sagamore Health Newtork Inc $16 - $560 18%
Consumer Life $19 - $648 21%
Ahg Dana Employees $20 - $679 22%
Align Networks $21 - $732 24%
Prime Health Services $22 - $784 25%
Private Healthcare Systems Inc $22 - $784 25%
Multiplan $24 - $836 27%
Advantage 360 $25 - $867 28%
Encore Health Network $25 - $940 28%
Community Health Alliance $26 - $888 29%
First Health $26 - $899 29%
Allied Benefit Systems $27 - $940 30%
Cardinal Health Alliance $27 - $940 30%
Ppom $27 - $940 30%
Veterans Eval Services $30 - $81 34%
Blue Cross Blue Shield $81 - $378 91%
Caresource $81 91%
Humana $81 - $92 91%
Medicaid / KanCare $81 91%
Mhs $81 91%
Mhs In Hip $81 91%
Tricare $87 98%
Medicare (plans) $91 102%
Node Iu Health Mcr Adv $91 102%
Node Mhs Mcr Adv $91 102%
Department Of Veterans Affairs $92 103%
Node Caresource Mcr Adv $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Non Par Hospice Agree $92 103%
Node Va $92 103%
Northeast Hospice $92 103%
County Jail Health Care $96 108%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Lutheran Three Rivers Preferred Plus 150 $138 155%
Lutheran Three Rivers Preferred Plus 175 $161 181%
Encore Work Comp In $166 187%
Lutheran Northwest Health Preferred $184 207%
Managed Health Services Exchange $184 207%
Workers Compensation $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: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals