CMS Price Transparency Data

X-ray, hip

Facility: Dukes Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $81
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Dukes Memorial Hospital is $81. 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 0.91x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $81 (91%)
Cash: $134 (151% of Medicare)
Ins. Median: $81 (91% 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
Aetna $6 - $239 7%
Blue Cross Blue Shield $6 - $378 7%
Department Of Veterans Affairs $6 - $93 7%
Humana $6 - $99 7%
In Dept Of Correction $6 - $104 7%
Iu Health Plan $6 - $99 7%
Managed Health Services $6 - $201 7%
Medicare (plans) $6 - $99 7%
Miami County Sheriffs Department $6 - $104 7%
Node Devoted Health Mcr Adv $6 - $101 7%
Node Pphp Mcr Adv $6 - $105 7%
Node Va $6 - $242 7%
Tricare $6 - $93 7%
UnitedHealthcare $6 - $247 7%
Lutheran Advanced Network $9 - $151 10%
Lutheran Three Rivers Preferred Plus 150 $9 - $151 10%
Node Lutheran Preferred Fixed 2 $9 - $151 10%
Align Network $10 - $161 11%
Lutheran Preferred $10 - $402 11%
Lutheran Three Rivers Preferred Plus 175 $10 - $176 11%
Encore Work Comp In $11 - $181 12%
Partners Direct Health Llc $11 - $191 12%
Prime Health Services $11 - $376 12%
Lutheran Northwest Health Preferred $12 - $201 13%
Physicians Health Plan $12 - $234 13%
Three Rivers Preferred Plus $12 - $201 13%
Work Comp $12 - $201 13%
Cigna $13 - $502 15%
Encore Kba Epo $14 - $241 16%
Php Freedom $14 - $232 16%
Three Rivers Preferred $14 - $226 16%
Amish Aid $15 - $251 17%
Encore Ppo $15 - $251 17%
Self Pay $15 - $276 17%
Sagamore Health Network $17 - $278 19%
Encore Kba Ppo $18 - $301 20%
Consumer Life $19 - $311 21%
First Health $24 - $402 27%
Multiplan $24 - $407 27%
Advantage Health Solutions $25 - $417 28%
Encore Health Network $25 - $412 28%
Encore $27 - $452 30%
Veterans Eval Services $30 - $81 34%
One Call Wc $45 51%
Caresource $62 - $81 70%
Us Department Of Labor $74 83%
Medicaid / KanCare $81 91%
Mhs $81 91%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals