X-ray, hip
Facility: Nmc Health
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $42
- Cash Discount Price: $33
- vs. Medicare Baseline: 0.47x 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 |
|---|---|---|
| Bluestem Pace | $10 - $84 | 11% |
| Medicaid / KanCare | $16 - $134 | 18% |
| Leading Age | $16 - $134 | 18% |
| Wppa | $18 - $135 | 20% |
| Occunet | $19 - $148 | 21% |
| Samaritan Ministries International | $21 - $160 | 24% |
| Medincrease Health Plan | $21 - $160 | 24% |
| Prime Health Services | $24 - $185 | 27% |
| Aetna | $26 - $203 | 29% |
| UnitedHealthcare | $29 - $221 | 33% |
| Cigna | $30 - $234 | 34% |
| Blue Cross Blue Shield | $173 | 195% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Nmc Health in Newton, KS, the facility's cash median rate of $33.00 is significantly lower than the negotiated rates charged to commercial payers, which range from $10 to $234 depending on the insurance plan. While the facility's negotiated average of $42.00 is higher than the cash price, it remains below the gross charge of $163.00. It is important to note that for patients with high-deductible plans, paying the cash price of $33.00 upfront can sometimes result in lower out-of-pocket costs than the insurance negotiated rate of $42.00, especially if the deductible has not yet been met. Patients should verify their specific plan's allowed amount and consider asking the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final balance.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the facility's inflated gross charges. The Medicare amount for this procedure is $88.91, and the facility's cash rate of $33.00 represents a substantial discount relative to this federal baseline. Although the facility's negotiated rate of $42.00 is lower than the Medicare amount, commercial rates often include administrative overhead that can inflate the baseline price by 20% to 40%. To ensure you are receiving fair pricing, avoid accepting summary bills that obscure individual line items; instead, request a full itemized audit to identify any unbundled codes or services not rendered. If you encounter a balance bill from