X-ray, hip
Facility: Grisell Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $251
- Cash Discount Price: $273
- vs. Medicare Baseline: 2.82x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 282% of the Medicare baseline (a markup of 182%). 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.
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 | $163 | 183% |
| UnitedHealthcare | $214 - $287 | 241% |
| Humana | $287 | 323% |
| Medicaid / KanCare | $287 | 323% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price of $273.00 is notably higher than the Medicare benchmark of $88.91, reflecting a markup of 2.8 times the federal rate. While commercial insurance plans like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates ranging from $163 to $287, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if they qualify for self-pay discounts. It is important to note that the facility's ownership by a Hospital District and its status as a Critical Access Hospital may influence these pricing structures, but the most reliable baseline for evaluating fairness remains the Medicare rate rather than the hospital's gross chargemaster list.
Patients should be aware that insurance negotiated rates can sometimes be inflated by administrative costs and contract dynamics, potentially resulting in higher out-of-pocket costs than paying cash directly. Before scheduling, it is advisable to contact the hospital to inquire about "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payments, effectively bypassing the overhead associated with insurance claims processing. Additionally, while the No Surprises Act protects against balance billing for emergency care at in-network facilities, patients should still request an itemized bill to verify that all charges align with the negotiated or cash rates, ensuring no unexpected fees are included in the final statement.