X-ray, hip
Facility: Lmh
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $89
- Cash Discount Price: $123
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Blue Cross Blue Shield | $49 - $318 | 55% |
| UnitedHealthcare | $49 - $327 | 55% |
| Humana | $88 | 99% |
| Medicare (plans) | $88 | 99% |
| Cigna | $88 - $329 | 99% |
| Haskell Indian Health Services | $88 | 99% |
| Allwell | $89 | 100% |
| Ambetter / Centene | $136 | 153% |
| Aetna | $314 - $409 | 353% |
| Non Contracted | $394 | 443% |
| First Health | $458 | 515% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at Lmh in Lawrence, KS, the facility's cash price of $123.00 is significantly lower than the negotiated rates charged to most insurance plans, which range from $88 to $409 depending on the carrier. While Medicare sets a baseline of $88.91, commercial payers like Aetna and Cigna have negotiated rates that can exceed $300, whereas the cash rate remains consistent at $123.00. This pricing structure highlights a common billing dynamic where paying out-of-pocket directly can result in substantial savings compared to insurance reimbursement, particularly for patients with high-deductible plans who may otherwise face higher out-of-pocket costs if their insurer's allowed amount exceeds the cash price.
Patients should proactively contact the hospital to confirm if they qualify for self-pay or prompt-pay discounts, which can further reduce the $123.00 cash rate by bypassing administrative claim processing fees. It is important to note that while the facility is in-network for many carriers, the wide variance in negotiated rates—from $88 for Humana to over $400 for some Aetna plans—demonstrates that being in-network does not guarantee the lowest possible cost. To ensure you are receiving the most accurate pricing, always request a full itemized bill before signing any consent forms, as summary bills may obscure specific charges, and verify that no balance billing is occurring for out-of-network ancillary services protected under federal regulations.