X-ray, hip
Facility: Saint John Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Comp Alliance Workers Comp | $44 | 49% |
| Oha Networks | $48 | 54% |
| Worker Compensation | $49 | 55% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $68 - $82 | 76% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Blue Cross Blue Shield | $82 - $173 | 92% |
| Cigna | $82 | 92% |
| Tricare | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Kansas Superior Select | $84 | 94% |
| Employer Direct Healthcare | $115 | 129% |
| Corizon | $115 | 129% |
| Well Path | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Saint John Hospital in Leavenworth, KS, the facility's cash median rate of $81.00 is significantly lower than the state average of $82.00 and the Medicare benchmark of $88.91. While the hospital's negotiated rates for commercial payers range from $44 to $173, with the lowest being $44 for Comp Alliance Workers Comp, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rates can sometimes be substantially higher than the cash price. It is important to note that the cash rate represents the lowest possible price for this service and does not include any potential prompt-pay discounts, which are typically offered when patients pay in full upfront.
The facility's median negotiated rate of $82.00 aligns closely with the state average but remains below the highest negotiated rates seen for some payers, such as Blue Cross Blue Shield, which ranges up to $173. This variation highlights that in-network status does not guarantee the lowest possible cost, as different insurers negotiate different ceilings based on their specific contracts. To ensure you are not overpaying, it is recommended to request a formal itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, patients should verify their deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can result in unexpected out-of-pocket expenses that far exceed the cash option.