X-ray, hip
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $80
- Cash Discount Price: $239
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $78 | 88% |
| UnitedHealthcare | $80 - $97 | 90% |
| Blue Cross Blue Shield | $80 - $130 | 90% |
| United Mine Workers Of America | $80 | 90% |
| Aetna | $80 - $100 | 90% |
| Providrs Care Network | $80 | 90% |
| Lantern Specialty Care | $128 | 144% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the facility's cash median price is $239.00, which is significantly lower than the average negotiated rates paid by major insurers like UnitedHealthcare ($80–$97) and Blue Cross Blue Shield ($80–$130). While the facility is owned by physicians and operates as an acute care hospital, patients with high-deductible plans may find paying the cash price of $239.00 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $88.91 when adjusted for the specific vintage data provided, though standard commercial benchmarks often range 200% to 300% of Medicare; however, this specific code shows a cash price that is higher than the raw Medicare amount listed, suggesting a unique pricing structure or specific adjustment factors for this service.
Patients should be aware that while the facility offers a cash median of $239.00, the median amount actually paid by insurance members is $136.00, indicating that insurance coverage reduces the out-of-pocket cost for those with active plans. However, if a patient has not met their deductible, they could be responsible for the full negotiated rate, which can be higher than the cash price. To minimize costs, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can provide an additional reduction for upfront payment. Furthermore, if a patient