CMS Price Transparency Data

X-ray, hip

Facility: Saint Luke'S South Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $218
  • Cash Discount Price: $326
  • vs. Medicare Baseline: 2.45x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Saint Luke'S South Hospital is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.45x the Medicare baseline. Located in 12300 Metcalf Avenue, Overland Park, KS.
Cash / Self-Pay
$326

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $326 (367%)
Insurance Median: $218 (245%)
Cash: $326 (367% of Medicare)
Ins. Median: $218 (245% of 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 245% of the Medicare baseline (a markup of 145%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $37 - $517 42%
Blue Cross Blue Shield $39 - $409 44%
Humana $39 - $63 44%
Medicaid / KanCare $49 - $113 55%
Transplants-Case Rates [5750] $52 - $544 58%
UnitedHealthcare $57 - $296 64%
Cigna $98 - $413 110%
Commercial-Contracted [8000] $251 - $440 282%
First Health [5512] $322 362%

Consumer Guidance & Cost Commentary

For the CPT code 73502 (X-ray, hip) at Saint Luke's South Hospital in Overland Park, KS, the facility's gross charge is $544.00. This represents a 2.5x markup compared to the Medicare benchmark rate of $88.91, which serves as the objective baseline for fair pricing. While the facility offers a cash median price of $326.00, commercial insurance negotiated rates vary significantly by plan, ranging from $37 to $544 across nine payers. For patients with high-deductible plans, paying the cash price of $326.00 upfront may be more cost-effective than relying on insurance, as many in-network negotiated rates exceed this amount due to administrative overhead and contract dynamics.

Before scheduling, patients should verify their specific plan's allowed amount and check for "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full. Although the data does not provide specific county or state average comparisons for this code, it is important to compare the facility's negotiated rates against other providers in the network to ensure you are not paying a premium for a specific contract tier. If you receive a bill, always request a detailed, itemized statement to identify any errors or unbundled charges, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12300 Metcalf Avenue, Overland Park, KS 66213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals