X-ray, hip
Facility: Menorah Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $270
- Cash Discount Price: $1,437
- vs. Medicare Baseline: 3.04x 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 304% of the Medicare baseline (a markup of 204%). 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 - $1,064 | 44% |
| Corvel Corporation | $47 - $934 | 53% |
| Amerigroup | $49 | 55% |
| United | $49 - $647 | 55% |
| Aetna | $49 - $733 | 55% |
| Oha Network | $49 - $719 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Blue Cross Blue Shield | $52 - $647 | 58% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $1,150 | 114% |
| Ambetter / Centene | $267 | 300% |
| Nhc Advantage | $273 | 307% |
| Wppa Providrs Care Network | $287 | 323% |
| Humana | $303 - $381 | 341% |
| Universal Healthcare | $503 | 566% |
| Coventry | $578 | 650% |
| Coventry Kc Mo | $589 | 662% |
| College Park Family Care Center | $618 | 695% |
| Cco, Inc. | $1,078 | 1212% |
| Triwest Health Alliance | $1,078 | 1212% |
| Focus Healthcare Mgmt, Inc | $1,078 | 1212% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Menorah Medical Center in Overland Park, KS, the cash price is $1,437.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup common in commercial healthcare where negotiated rates often average 200% to 300% of the federal baseline. While the facility reports a median negotiated rate of $270.00 across 23 payers, these amounts vary widely by insurer, ranging from $39 to $1,078. Patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance negotiated rate exceeds the cash price, though they must verify their specific plan's allowed amount before scheduling.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after the service. Since the facility is a proprietary acute care hospital, it is important to confirm whether your insurance is truly in-network, as in-network status does not guarantee the lowest possible price; some carriers negotiate rates that are substantially higher than others. Additionally, if you receive a bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit.