CMS Price Transparency Data

X-ray, hip

Facility: Kosciusko Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $99
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Kosciusko Community Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.11x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $83 (93%)
Insurance Median: $99 (111%)
Cash: $83 (93% of Medicare)
Ins. Median: $99 (111% 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 $6 - $168 7%
Self Pay $6 - $312 7%
Lutheran Preferred Network $9 - $640 10%
Physicians Health Plan $11 - $369 12%
Aetna $12 - $426 13%
Encore $12 - $320 13%
Php Freedom Network $12 - $309 13%
Trma Inc $12 - $360 13%
UnitedHealthcare $12 - $421 13%
Connecticut General Life Insurance Company $18 - $471 20%
Cigna $19 - $506 21%
First Health Network $22 - $600 25%
Prime Health Services $22 - $600 25%
Advantage Health $25 - $664 28%
Private Healthcare Systems $26 - $688 29%
Sagamore $26 - $752 29%
Encore Health Network $28 - $744 31%
Veterans Eval Services $30 - $81 34%
One Call Care Diagnostics Wc $45 51%
Caresource $62 - $81 70%
Blue Cross Blue Shield $81 - $378 91%
Humana $81 - $97 91%
Managed Health Services $81 91%
Medicaid / KanCare $81 91%
Mhs $81 - $97 91%
Tricare $87 98%
Department Of Veterans Affairs $92 103%
Medicare (plans) $97 109%
Iu Health $99 111%
Node Devoted Health Mcr Adv $99 111%
Node Non Par Hospice Agree $99 111%
Node Va $99 111%
In Dept Of Correction $103 116%
Node Pphp Mcr Adv $104 117%
Us Department Of Labor $123 138%
Lutheran Advanced Network $148 166%
Lutheran Preferred $148 - $197 166%
Align In Work Comp $158 178%
One Call Work Comp $158 178%
Encore Work Comp In $178 200%
Managed Health Services Exchange $197 222%
Workers Comp $197 222%
Encore Kba Epo $237 267%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals