X-ray, hip
Facility: Wesley Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $499
- Cash Discount Price: $2,884
- vs. Medicare Baseline: 5.61x 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 561% of the Medicare baseline (a markup of 461%). 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 |
|---|---|---|
| First Health | $47 - $1,330 | 53% |
| UnitedHealthcare | $49 | 55% |
| Multiplan | $49 - $2,596 | 55% |
| Medicaid / KanCare | $50 | 56% |
| Aetna | $51 - $1,030 | 57% |
| Amerigroup | $51 | 57% |
| Blue Cross Blue Shield | $167 | 188% |
| United | $182 - $1,298 | 205% |
| Health Partners Of Kansas | $499 - $1,442 | 561% |
| Wppa | $502 | 565% |
| Ambetter / Centene | $519 | 584% |
| Preferred Health Choices | $545 | 613% |
| Medical Associates Health Plan | $545 | 613% |
| Spirit Aerosystems | $923 | 1038% |
| Triwest Healthcare Alliance | $1,875 | 2109% |
| Usa Managed Care | $2,451 | 2757% |
Consumer Guidance & Cost Commentary
For CPT code 73502, an X-ray of the hip at Wesley Medical Center in Wichita, KS, the cash median price is $2,884.00. This cash rate is significantly higher than the state average, which is $88.91, and represents a 5.6x markup relative to Medicare's benchmark rate. While commercial insurance plans like First Health, UnitedHealthcare, and Multiplan have negotiated rates ranging from $47 to $2,596, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash median directly can be more cost-effective than relying on insurance, provided the patient's deductible has not yet been met. Patients should verify their specific plan's allowed amount and consider requesting a self-pay or prompt-pay discount before scheduling to avoid unexpected costs.
It is important to distinguish between the facility's gross charges and the actual amounts billed to patients. The data shows a wide variance in negotiated rates across different payers, with some plans paying as low as $47 while others pay up to $2,451. If you are an out-of-network patient, be aware that balance billing could occur if the provider bills the difference between their full chargemaster rate and your insurance's allowed amount, though the No Surprises Act protects you from such surprise bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, always request a full itemized bill rather than accepting a summary invoice, as hospitals may bundle services or charge for items not rendered. Disputing any errors in writing with the billing supervisor is the most effective way to reduce medical debt and ensure you