CMS Price Transparency Data

X-ray, hip

Facility: Woodlawn Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $102
  • Cash Discount Price: $339
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Woodlawn Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.15x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$339

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $339 (381%)
Insurance Median: $102 (115%)
Cash: $339 (381% of Medicare)
Ins. Median: $102 (115% 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
Blue Cross Blue Shield $21 - $362 24%
Caresource Mcaid Hww $21 24%
Mdwise Excel Hhw & Hcc $21 24%
Mhs Mcaid Hcc $21 24%
Mhs Mcaid Hhw $21 24%
UnitedHealthcare $21 - $344 24%
Aetna $99 - $429 111%
Caresource Mcaid Hip $99 111%
Caresource Mcr Adv $99 111%
Humana $99 - $351 111%
Mdwise Mcaid Excel Hip $99 111%
Mhs Exch Mrktplce-All Other Plans $99 111%
Mhs Mcaid Hip $99 111%
Mhs Mcr Adv $101 114%
Caresource Exch - All Other Plans $129 145%
Ambetter / Centene $132 148%
Partners Direct Health-All Plans $307 345%
Cigna $324 - $384 364%
Parkview Health Plans-All Plans $339 381%
Sagamore All Other Grps - All Other Plans $380 427%
Encore Comm-All Plans $384 432%
Phcs/Multiplan-All Plans $420 472%
Community Health Alliance-All Plans $429 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals