X-ray, hip
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $461
- Cash Discount Price: $239
- vs. Medicare Baseline: 5.19x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 519% of the Medicare baseline (a markup of 419%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Black Lung [6055] | $327 | 368% |
| Aetna | $327 | 368% |
| Healthcare Highways [2210] | $327 | 368% |
| Oncology Patient Assistance Programs [2295] | $327 | 368% |
| Lucent Health [6000] | $327 | 368% |
| Web Tpa [2115] | $327 | 368% |
| Hooray Health [8000] | $327 | 368% |
| Blue Cross Blue Shield | $327 | 368% |
| Department Of Corrections [1340] | $399 | 449% |
| Healthpartners [1500] | $461 | 519% |
| Cigna | $461 | 519% |
| National Association Of Letter Carriers [1695] | $461 | 519% |
| American Postal Workers Union [1070] | $461 | 519% |
| Humana | $471 | 530% |
| Administrative Concepts [1005] | $620 | 697% |
| Multiplan [1680] | $620 | 697% |
| American Healthcare [1055] | $620 | 697% |
| First Health [1375] | $620 | 697% |
| Healthscope Benefits [2290] | $651 | 732% |
| UnitedHealthcare | $651 | 732% |
| Geha [1415] | $651 | 732% |
| Coventry Healthcare [1320] | $654 | 736% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at the University Of Kansas Health System - St Francis Campus, the facility's negotiated rate of $461.00 is significantly higher than the cash median of $239.00, which could result in unexpected costs for patients with high-deductible plans. While the facility's gross charge is $798.00, insurance contracts cap payments at $461.00 for most payers, meaning patients may face balance billing if they are out-of-network or if ancillary services are billed separately. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, so patients with high deductibles might save money by paying the cash rate directly, provided they have the funds available.
To avoid surprise bills, patients should verify their insurance status and request a prompt-pay discount before scheduling, as these upfront discounts can reduce the total cost by 20% to 50%. If a patient receives a bill exceeding their insurance allowed amount, they should request an itemized billing audit to identify errors such as code unbundling or services not rendered, since over 80% of hospital bills contain mistakes. Additionally, comparing the facility's rates to the Medicare benchmark of $88.91 reveals that the commercial negotiated rate represents a substantial markup, highlighting the importance of understanding the difference between the hospital's list price and the actual amount paid by insurers.