X-ray, hip
Facility: Lane County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $255
- Cash Discount Price: $255
- vs. Medicare Baseline: 2.87x 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 287% of the Medicare baseline (a markup of 187%). 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 |
|---|---|---|
| Aetna | $230 - $242 | 259% |
| UnitedHealthcare | $230 - $255 | 259% |
| Medicaid / KanCare | $255 - $281 | 287% |
| Healthy Blue Mcaid | $255 | 287% |
| Healthy Blue Mcr Adv - All Other Plans | $255 | 287% |
| Wppa Providers-All Plans | $383 | 431% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Lane County Hospital in Dighton, KS, the cash price is $255.00, which matches the facility's median negotiated rate and the median amount paid by insurers. This code is billed at a 2.9x markup relative to the Medicare benchmark of $88.91. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash payments can sometimes be more cost-effective than insurance claims, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. To minimize out-of-pocket costs, patients are encouraged to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs often offer immediate fee reductions that bypass standard insurance billing cycles.
The data indicates that six payers have negotiated rates for this service, with the lowest range starting at $230 and the highest at $383, though the median paid across all plans remains $255.00. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price compared to the true cost of care represented by Medicare benchmarks. If a patient receives a bill significantly higher than the $255.00 cash or median negotiated rate, they should request a formal itemized billing audit to identify potential errors, such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and any unexpected charges