CMS Price Transparency Data

X-ray, hip

Facility: Pulaski Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $28
Cash Discount Price: $196
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Pulaski Memorial Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.31x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $196 (220%)

Insurance Median: $28 (31%)

Cash: $196 (220% of Medicare)

Ins. Median: $28 (31% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$9 - $419	10%
Ambetter / Centene	$10 - $164	11%
Blue Cross Blue Shield	$10 - $352	11%
Caresource Mcaid Hip	$10 - $164	11%
Caresource Mcare Hmo	$10 - $164	11%
Cenpatico Mcaid Hip	$10 - $164	11%
Humana	$10 - $426	11%
Mdwise Mcaid Hcc	$10 - $21	11%
Mdwise Mcaid Hhw	$10 - $21	11%
Mdwise Mcaid Hip - All Other Plans	$10 - $164	11%
Mhs Mcaid Hip	$10 - $164	11%
Mhs Mcare Allwell	$10 - $166	11%
Multiplan - All Plans	$10 - $477	11%
Cigna	$12 - $503	13%
Sagamore - All Other Plans	$12 - $401	13%
Sagamore Rose Acre	$12 - $395	13%
Caresource Exch Hmo Hix - All Other Plans	$13 - $205	15%
Encore Ppo - All Other Plans	$16 - $450	18%
Community Health Alliance - All Plans	$20 - $472	22%
Caresource Mcaid Hhw	$21 - $43	24%
Cenpatico Mcaid Hhw - All Other Plans	$21 - $43	24%
Mhs Mcaid Hhw/Hcc	$21 - $43	24%
Encore Workers Comp	$28 - $477	31%
Aetna	$191	215%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pulaski Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.