CMS Price Transparency Data

X-ray, hip

Facility: Kansas Medical Center Llc

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $80
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Kansas Medical Center Llc is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1124 West 21St Street, Andover, KS.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $137 (154%)
Insurance Median: $80 (90%)
Cash: $137 (154% of Medicare)
Ins. Median: $80 (90% 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.

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
Medicaid / KanCare $49 55%
Aetna $61 69%
Tricare $72 81%
Indian Health $72 81%
Blue Cross Blue Shield $80 - $166 90%
Medadv_Wellcare $80 90%
Humana $80 90%
Ambetter / Centene $80 90%
United $84 94%
Wppa $91 102%
Three_Rivers $160 180%

Consumer Guidance & Cost Commentary

For the X-ray of the hip at Kansas Medical Center Llc in Andover, Kansas, the facility's cash median price is $137.00, which is lower than the negotiated rates paid by most major payers. While the facility's cash rate is significantly lower than the gross charge of $228.00, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as many commercial payers negotiate rates ranging from $61.00 to $166.00. It is important to note that while the facility's negotiated median is $80.00, the cash price of $137.00 is actually higher than this negotiated average, suggesting that for those with active insurance coverage, the insurer's allowed amount will likely be lower than the cash-pay option.

To ensure you receive the most accurate pricing, always request a prompt-pay discount or self-pay rate before scheduling your visit, as these can reduce the final cost by 20% to 50%. If you do receive a bill after insurance processing, you should request an itemized billing audit to verify that no services were double-billed or unbundled, as over 80% of hospital bills contain errors. Additionally, while the No Surprises Act protects you from balance billing for emergency care at in-network facilities, you should still review your specific plan details to confirm whether this service is covered under your deductible or out-of-pocket maximum.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1124 West 21St Street, Andover, KS 67002
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals