X-ray, hip
Facility: Providence Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance - Fka Compresults Worker Compensation | $44 | 49% |
| Oha Networks | $48 | 54% |
| Worker Compensation | $49 | 55% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $53 - $82 | 60% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Cigna | $82 | 92% |
| Tricare | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Well Path Prison | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $750 | 844% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Providence Medical Center in Kansas City, KS, the facility's cash median rate of $81.00 is significantly lower than the state average of $131.00 and the county average of $123.00. While commercial payers like Aetna and UnitedHealthcare negotiate rates ranging from $74 to $115, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that cash-pay rates can sometimes be cheaper than insurance negotiated rates, so patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not being billed the full negotiated amount.
The facility's Medicare benchmark rate of $88.91 serves as a reliable baseline for evaluating pricing, as it reflects the true cost of care rather than inflated chargemaster lists. Although the facility's negotiated median rate of $82.00 is close to the Medicare benchmark, the gross charge of $769.00 represents a substantial markup that commercial payers do not pass on to members. To avoid unexpected costs, patients should request a detailed, itemized billing audit before paying any balance bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a balance bill arises from an out-of-network provider at an in-network facility, the No Surprises Act may protect patients from paying the difference, so disputing the bill with the insurer is a critical first step.