CMS Price Transparency Data

X-ray, hip

Facility: Decatur County Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $110
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Decatur County Memorial Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $169 (190%)
Insurance Median: $110 (124%)
Cash: $169 (190% of Medicare)
Ins. Median: $110 (124% 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 $10 - $289 11%
Blue Cross Blue Shield $10 - $249 11%
Caresource Mcr Adv $10 - $116 11%
Choice Care Mcr Adv $10 - $110 11%
Choicecare Commercial-All Other Plans $10 - $353 11%
Encircle-All Plans $10 - $255 11%
Siho Mcr Adv $10 - $110 11%
Thcg/Encore-All Plans $10 - $357 11%
UnitedHealthcare $10 - $334 11%
Caresource Just4Me-All Other Plans $12 - $187 13%
Medicaid / KanCare $21 - $43 24%
Siho-All Other Plans $50 - $369 56%
Cigna $54 - $293 61%
Sagamore Health-All Plans $57 - $304 64%
Healthsource Indiana-All Plans $64 - $342 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 720 North Lincoln Street, Greensburg, IN 47240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals