X-ray, hip
Facility: Kansas City Orthopaedic Institute
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $75
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Blue Cross Blue Shield | $39 - $257 | 44% |
| Cigna | $54 - $201 | 61% |
| Aetna | $81 | 91% |
| UnitedHealthcare | $81 - $191 | 91% |
| Medica | $201 | 226% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at the Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $39 to $257 across five insurance plans, with a median negotiated payment of $75.00. The Medicare benchmark for this service is $88.91, which serves as the objective baseline for evaluating pricing fairness. While the facility is owned by physicians and operates as an acute care hospital, the data does not provide a specific comparison to Kansas state or county average rates for this procedure. Patients should note that commercial negotiated rates often include administrative overhead and can exceed the true cost of care represented by the Medicare rate, making it essential to verify the specific allowed amount for your plan before scheduling.
Although the data does not list a cash or self-pay median, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can significantly reduce out-of-pocket costs for those without insurance or with high-deductible plans. If you choose to pay cash, ensure you request a waiver of insurance submission to prevent the hospital from submitting a claim that would void any cash discount agreement. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be protected by the No Surprises Act, which bans balance billing for emergency and non-emergency services; in such cases, do not pay the full balance immediately but instead dispute the bill with your insurer to request a formal audit.