CMS Price Transparency Data

X-ray, hip

Facility: Mcpherson Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $80
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mcpherson Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1000 Hospital Drive, Mcpherson, KS.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $78 (88%)
Insurance Median: $80 (90%)
Cash: $78 (88% of Medicare)
Ins. Median: $80 (90% 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
UnitedHealthcare $9 - $403 10%
Tricare $9 - $70 10%
Ambetter / Centene $10 - $92 11%
Blue Cross Blue Shield $10 - $80 11%
Humana $10 - $80 11%
Healthy Blue Mcr Adv $10 - $80 11%
Aetna $10 - $403 11%
Va Ccn - All Plans $10 - $80 11%
Wellcare Mcr Adv - All Plans $10 - $80 11%
Multiplan - All Plans $13 - $363 15%
Medicaid / KanCare $37 - $403 42%
Health Blue Mcaid - All Other Plans $38 - $411 43%
Medical Associates - All Plans $56 - $302 63%
Central Plains - All Plans $56 - $302 63%
Health Partners - All Plans $71 - $383 80%
Cigna $71 - $383 80%
Wppa - All Plans $74 - $282 83%
Christian Health Aid - All Plans $84 - $322 94%
First Health - All Plans $100 - $383 112%

Consumer Guidance & Cost Commentary

For the CPT code 73502 (X-ray, hip) at McPherson Hospital in Mcpherson, KS, the facility's cash median rate of $78.00 is lower than the state average of $89.00. While the gross chargemaster lists range from $9 to $403 depending on the payer, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as commercial negotiated rates often exceed the cash price. The facility offers a voluntary non-profit structure and is located in a rural area (ZIP 67460), where prompt-pay discounts are frequently available to patients who settle their bill upfront. It is advisable to contact the hospital directly before scheduling to confirm self-pay or prompt-pay rates, as these discounts can significantly reduce out-of-pocket costs compared to standard insurance allowed amounts.

When reviewing your bill, be aware that commercial insurance contracts often result in negotiated rates that are higher than cash prices due to administrative overhead and contract dynamics. Although the Medicare benchmark for this service is $88.91, which serves as a scientifically validated baseline for fair pricing, commercial rates vary widely across the 19 payers listed, with some plans ranging up to $403. If you receive a bill that appears inflated, you should request an itemized audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network providers at in-network facilities, so any unexpected charges should be disputed in writing with the billing supervisor rather than paid immediately.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Hospital Drive, Mcpherson, KS 67460
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals