CMS Price Transparency Data

X-ray, hip

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 73502 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$160

about 1.8× the $89 Medicare rate · typically $50–$160

modeled estimate · not a bill or quote

What this hospital charges insurers

$143

Below the fair price — a good deal

about $17 under the fair price · 1.6× Medicare

Medicare pays $89 Fair price $160 This hospital $143 Cash price $321 Hospital's list price $494

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $143

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, hip is about $160 (about 1.8× the $89 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $143, or about $321 in cash — below the fair price — a good deal. Located in Plymouth, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$48 - $315	54%
Blue Cross Blue Shieldmajor	$48 - $325	54%
Aetnamajor	$48 - $321	54%
Cignamajor	$356	400%
AvMed	$445	501%
CareSource	$143	161%
Dean Health Plan	$445	501%
GEHA	$315	354%
Health Net	$356 - $380	400%
HealthPartners	$356	400%
Medical Mutual	$321	361%
Meridian	$92	103%
MVP Health Care	$356	400%
Paramount	$445	501%
Priority Health	$356	400%
+ 53 smaller / regional plans	$81 - $494

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 321), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73502.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Regional Medical Center - Plymouth is in-network.
Ask your insurer whether prior approval is required for CPT code 73502.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Regional Medical Center - Plymouth

Compare: X-ray, hip at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.