X-ray, hip
Facility: Rawlins County Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $378
- Cash Discount Price: $370
- vs. Medicare Baseline: 4.25x 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 425% of the Medicare baseline (a markup of 325%). 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 | $173 | 195% |
| UnitedHealthcare | $378 | 425% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at Rawlins County Health Center in Atwood, KS, the cash price is $370, which is lower than the facility's negotiated rates of $378 and $173 depending on the specific plan. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash payments can sometimes be more cost-effective than using insurance if their deductible has not yet been met. The data indicates a median negotiated rate of $378, but since the cash price is $370, paying out-of-pocket directly may result in immediate savings compared to the standard in-network allowed amounts.
To ensure you are not overcharged, it is important to request a full itemized bill before paying, as summary invoices often hide unbundled codes or services not rendered. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the final cost by 20% to 50% if you settle the account upfront. Since the facility is located in a specific geographic area, comparing these rates to the broader state or county averages helps provide context on whether the pricing is competitive, though the provided data focuses on the specific facility's internal rates and the Medicare benchmark of $88.91.