X-ray, hip
Facility: Pratt Regional Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $100
- Cash Discount Price: $81
- vs. Medicare Baseline: 1.12x 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 |
|---|---|---|
| Christian Health Aid | $75 - $271 | 84% |
| UnitedHealthcare | $83 - $368 | 93% |
| Celtic Insurance Company | $84 | 94% |
| Health Partners Of Kansas | $85 - $307 | 96% |
| Healthy Blue | $87 | 98% |
| Aetna | $90 - $325 | 101% |
| Choicecare | $100 - $361 | 112% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure at Pratt Regional Medical Center in Pratt, KS, the facility's cash median rate of $81.00 is lower than the gross charge of $115.00, offering a potential savings for patients with high-deductible plans who may not have insurance coverage or who prefer to pay upfront. While the facility's negotiated rates range from $75 to $361 across seven payers, with a median negotiated amount of $100.00, these insurance-based prices often exceed the cash price due to administrative costs and contract structures. Patients should verify if their specific plan falls within the low-end of the negotiated range (such as Celtic Insurance Company at $84) or if paying the cash rate directly provides a better financial outcome, as commercial rates frequently include markups that do not apply to self-pay patients.
To maximize savings, it is advisable to request a prompt-pay discount before scheduling your visit, as hospitals often offer fee reductions of 20% to 50% for upfront payments that bypass costly insurance claims processing. If you are billed by an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, though the No Surprises Act protects you from such bills for emergency care and non-emergency services at in-network facilities. Always ensure you receive an itemized bill rather than a summary invoice, as detailed statements allow you to identify errors or unbundled codes that could be disputed. Comparing the facility's pricing to the Medicare benchmark of $88.91 reveals that the cash rate is competitive, while the gross charge represents a significant markup that should be ignored when evaluating true value.