X-ray, hip
Facility: Overland Park Reg Med Ctr
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $526
- Cash Discount Price: $2,827
- vs. Medicare Baseline: 5.92x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 592% of the Medicare baseline (a markup of 492%). 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 |
|---|---|---|
| Multiplan | $39 - $2,092 | 44% |
| Corvel Corporation | $47 - $1,837 | 53% |
| United | $49 - $1,272 | 55% |
| Aetna | $49 - $1,442 | 55% |
| Oha Network | $49 - $1,413 | 55% |
| Amerigroup | $49 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Blue Cross Blue Shield | $52 - $1,215 | 58% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $150 | 114% |
| Ambetter / Centene | $526 | 592% |
| Nhc Advantage | $537 | 604% |
| Wppa Providrs Care Network | $565 | 635% |
| Humana | $596 - $749 | 670% |
| Universal Healthcare | $989 | 1112% |
| Coventry | $1,136 | 1278% |
| Coventry Kc Mo | $1,159 | 1304% |
| College Park Family Care Center | $1,215 | 1367% |
| Triwest Health Alliance | $2,120 | 2384% |
| Focus Healthcare Mgmt, Inc | $2,120 | 2384% |
| Cco, Inc. | $2,120 | 2384% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at Overland Park Reg Med Ctr in Kansas, the cash price is $2,827, which matches the facility's cash median. While the state average for this service is not explicitly listed, the facility's cash rate is significantly higher than the lowest negotiated rates found across 23 payers, with some plans paying as low as $39 and others up to $2,120. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance allowed amounts, as several commercial payers have negotiated rates exceeding the cash price. To potentially lower costs, patients should ask the billing department about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%.
When using insurance, it is important to understand that the negotiated rates vary widely by payer, ranging from $39 to $2,120, and these amounts often differ from the facility's gross charge of $2,827. If a patient receives care from an out-of-network provider at this in-network facility, they may face balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against this for emergency and non-emergency services. Additionally, patients should request an itemized bill to review specific CPT codes, as summary bills can obscure unbundled charges or services not rendered. Comparing the facility's rates to the Medicare benchmark of $88.91 reveals a significant markup, highlighting the importance of verifying whether the negotiated rate aligns with fair pricing standards rather than relying on the inflated chargemaster