X-ray, hip
Facility: Mercy Hospital Columbus
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $269
- Cash Discount Price: $241
- vs. Medicare Baseline: 3.03x 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 303% of the Medicare baseline (a markup of 203%). 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 | $31 - $269 | 35% |
| Humana | $31 - $352 | 35% |
| Blue Cross Blue Shield | $75 - $269 | 84% |
| UnitedHealthcare | $75 - $308 | 84% |
| Medicare (plans) | $82 - $280 | 92% |
| Health Systems Inc Contracted [320174] | $160 | 180% |
| Insurance System Inc Contracted [320465] | $160 | 180% |
| Administrative Payor Contracted [320005] | $167 | 188% |
| Provider Partners Health Plans Contracted [320450] | $269 | 303% |
| Cross Timbers Hospice [20098] | $269 | 303% |
| Home State Health Plan Contracted [320187] | $269 | 303% |
| Kindful Hospice Contracted [320434] | $269 | 303% |
| Medical Associates Health Contracted [320444] | $269 | 303% |
| Dept Of Veteran Affairs Contracted [320106] | $269 | 303% |
| Indian Health Service Contracted [320198] | $269 | 303% |
| Cigna | $269 | 303% |
| Mercy Hospice Okc [20252] | $269 | 303% |
| Pace Of The Ozarks Contracted [320518] | $269 | 303% |
| Globalhealth Contracted [320145] | $269 | 303% |
| Centurion Of Missouri [20459] | $269 | 303% |
| Ambetter / Centene | $269 | 303% |
| Aetna | $269 - $334 | 303% |
| Kindful Hospice [20434] | $269 | 303% |
| Mercy Mgd Behavioral Health Contracted [320259] | $269 | 303% |
| Qual Choice Contracted [320325] | $269 | 303% |
| Cherokee Nation Health Serv Contracted [320066] | $269 | 303% |
| Halo Hcr Inc Hospice [20432] | $269 | 303% |
| Elara Caring Aspire Hospice [20433] | $269 | 303% |
| Novasys Contracted [320285] | $269 | 303% |
| Halo Hcr Inc Hospice Contracted [320432] | $269 | 303% |
| Tricare | $270 | 304% |
| Healthscope Contracted [320182] | $286 | 322% |
| Workers Comp [20426] | $297 - $315 | 334% |
| United Medical Resources Contracted [320454] | $308 - $352 | 346% |
| Medica Contracted [320239] | $332 | 373% |
| Mercy Benefit Admin Contracted [320251] | $334 - $352 | 376% |
| Federal Medical Center Contracted [320127] | $334 | 376% |
| Preferred Health Plan Contracted [320522] | $334 | 376% |
| Healthlink Contracted [320179] | $334 - $352 | 376% |
| Usa Managed Care Org Contracted [320429] | $334 | 376% |
| First Health Contracted [320128] | $334 | 376% |
| American Healthcare Alliance Contracted [320020] | $334 | 376% |
| 90 Degree Benefits Contracted [320436] | $352 | 396% |
| Show-Me Health Administrators Contracted [320483] | $352 | 396% |
| Imagine 360 Contracted [320494] | $352 | 396% |
| Benefit Management Contracted [320052] | $352 | 396% |
| Aither Health Contracted [320449] | $352 | 396% |
| Auxiant Contracted [320462] | $352 | 396% |
| Point C Contracted [320238] | $352 | 396% |
| Reflect Health Contracted [320492] | $352 | 396% |
| Edison Health Solutions Contracted [320502] | $352 | 396% |
| Ppo Plus Contracted [320310] | $352 | 396% |
| Ebms Contracted [320493] | $352 | 396% |
| Private Health Care Systems Contracted [320320] | $352 | 396% |
| Yuzu Health Contracted [320521] | $352 | 396% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Mercy Hospital Columbus, the cash price of $241.00 is lower than the facility's median negotiated rate of $269.00 and the median paid amount of $434.00. While the gross charge is $371.00, commercial payers typically negotiate rates between $31.00 and $352.00 depending on the plan, with many contracts settling at $269.00. Patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $241.00, as paying out-of-pocket avoids potential deductibles and copays. It is important to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can further reduce the final cost.
The facility's pricing is benchmarked against the Medicare rate of $88.91, which serves as the objective baseline for healthcare delivery costs. The cash price of $241.00 represents approximately 2.7 times the Medicare rate, while the median negotiated rate of $269.00 is roughly 3.0 times the Medicare rate. This aligns with industry standards where commercial rates often range from 200% to 300% of Medicare, though fair pricing is typically defined as 120% to 150% of the Medicare amount. Consumers should be aware that hospitals often issue summary bills that obscure individual line items; requesting a full itemized CPT-coded statement is the most effective way to identify errors