CMS Price Transparency Data

X-ray, hip

Facility: Perry County Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $360
  • Cash Discount Price: $420
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Perry County Memorial Hospital is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.05x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$420

Average discount available for prompt cash payment at this facility.

Insurance Median
$360

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: $420 (472%)
Insurance Median: $360 (405%)
Cash: $420 (472% of Medicare)
Ins. Median: $360 (405% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 405% of the Medicare baseline (a markup of 305%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicaid / KanCare $81 - $720 91%
Veterans Administration $120 - $720 135%
Bc 130 $125 - $575 141%
Group Insurance $125 - $720 141%
Medicare (plans) $125 - $187 141%
Workers Compensation $240 - $360 270%
Nsa $283 - $444 318%
Guarantor Liable $337 - $720 379%
Pcmh Insurnace $375 - $720 422%
Secondary Insurance $384 - $575 432%
UnitedHealthcare $384 - $575 432%
Operating Engineers $409 - $612 460%
Boilermakers Healthcare $418 - $626 470%
Cigna $418 - $626 470%
Great West $418 - $720 470%
Sagxxxx $418 - $626 470%
Champus $481 - $720 541%
Ngs American, Inc $481 - $720 541%
Patoka Valley $481 - $720 541%
Southwire $481 - $720 541%
Tricare $481 - $720 541%
Wausau Benefits $481 - $720 541%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals