X-ray, hip
Facility: Cheyenne County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $277
- Cash Discount Price: $248
- vs. Medicare Baseline: 3.12x 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 312% of the Medicare baseline (a markup of 212%). 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 | $172 | 193% |
| UnitedHealthcare | $177 - $292 | 199% |
| First Health - All Plans | $204 | 229% |
| Tricare | $210 | 236% |
| Healthy Blue Mcr Adv | $210 | 236% |
| Aetna | $210 - $277 | 236% |
| Choice Care - All Plans | $212 | 238% |
| Firstguard - All Plans | $233 | 262% |
| Wppa - All Plans | $262 | 295% |
| Preferred Hc - All Plans | $277 | 312% |
| Cpm - All Plans | $277 | 312% |
| Midlands Choice - All Plans | $283 | 318% |
| Integrated Hp - All Plans | $286 | 322% |
| Health Partners - All Plans | $286 | 322% |
| Ppo Next - All Plans | $286 | 322% |
| Unicare - All Plans | $286 | 322% |
| Childrens Mercy - All Plans | $292 | 328% |
| Healthy Blue Mcaid - All Other Plans | $292 | 328% |
| Healthwave Mcaid - All Plans | $292 | 328% |
| Providers Care-All Plans | $437 | 492% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at Cheyenne County Hospital, the cash price of $248 is lower than the facility's negotiated rates, which range from $172 to $437 depending on the insurance plan. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average benchmarks for comparison. However, it is important to note that cash-paying can sometimes be more cost-effective for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill.
The Medicare benchmark for this service is $88.91, which serves as a baseline to evaluate the facility's pricing markup. The facility's cash rate of $248 represents a significant increase over the Medicare amount, reflecting the costs of local wages and facility operations. Commercial negotiated rates often include administrative overheads that can inflate the baseline price by 20% to 40% compared to the true cost of care. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, they should still request an itemized bill to verify all charges and avoid unexpected costs.