X-ray, hip
Facility: Wichita County Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $380
- Cash Discount Price: $333
- vs. Medicare Baseline: 4.27x 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 427% of the Medicare baseline (a markup of 327%). 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 |
|---|---|---|
| Medicaid / KanCare | $343 | 386% |
| UnitedHealthcare | $416 | 468% |
Consumer Guidance & Cost Commentary
For this X-ray hip procedure at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $333.00 is lower than the median negotiated rate of $380.00 and the median paid amount of $343.00. While the facility is in-network for both Medicaid/KanCare and UnitedHealthcare, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the cash rate is below the insurer's allowed amount. It is important to note that while the facility is a Critical Access Hospital owned by the local government, commercial insurance contracts often result in higher final bills due to administrative processing costs and network tiering, which can make out-of-pocket payment a smarter financial choice for some patients.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can hide unbundled codes or services not rendered. If you receive a balance bill for an out-of-network service, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce your total cost by 20% to 50% if you settle the account in full upfront, bypassing the administrative fees associated with insurance claims.