X-ray, hip
Facility: Kansas Heart Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $135
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.52x 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 |
|---|---|---|
| Wppa - All Plans | $60 | 67% |
| Tricare | $72 | 81% |
| Humana | $80 | 90% |
| Medicaid / KanCare | $80 - $150 | 90% |
| Celtic Mcr Adv | $80 | 90% |
| UnitedHealthcare | $80 - $150 | 90% |
| Blue Cross Blue Shield | $130 - $150 | 146% |
| Multiplan - All Plans | $135 | 152% |
| Aetna | $146 - $150 | 164% |
| Soonerselect Mcaid - All Plans | $150 | 169% |
| Celtic Mcaid - All Other Plans | $150 | 169% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Kansas Heart Hospital in Wichita, KS, the facility's cash median rate of $94.00 is notably lower than the state average of $150.00, offering a potential savings of $56.00 for self-pay patients. While the facility's negotiated rates range from $60.00 to $150.00 across various payers, many commercial plans, such as Medicaid/KanCare and UnitedHealthcare, negotiate rates that 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 the facility's median negotiated rate of $135.00 is significantly higher than the Medicare benchmark of $88.91, illustrating how commercial contracts often mark up costs well above the federal baseline used for cost transparency.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify your specific plan's deductible status, as you may be responsible for the full negotiated amount if you have not yet met your out-of-pocket threshold. To ensure accuracy, always request a detailed, itemized bill rather than a summary statement, allowing you to review specific CPT codes and identify any potential errors or unbundled charges before making a payment.