X-ray, hip
Facility: Rooks County Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $538
- Cash Discount Price: $448
- vs. Medicare Baseline: 6.05x 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 605% of the Medicare baseline (a markup of 505%). 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% |
| Celtic Mcr Adv | $281 | 316% |
| Veterans Admin - All Plans | $281 | 316% |
| Tricare | $281 | 316% |
| Celtic Comm - All Other Plans | $309 | 348% |
| Aetna | $538 | 605% |
| Preferred Benefits Admin | $538 | 605% |
| UnitedHealthcare | $538 | 605% |
| Preferred Hlthcare - All Other Plans | $567 | 638% |
| Health Partners - All Plans | $567 | 638% |
| Healthy Blue Mcaid - All Plans | $597 | 671% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Rooks County Health Center in Plainville, KS, the facility's cash price of $448.00 is notably higher than the state average of $309.00, though it aligns closely with the county average for this service. While commercial insurance carriers like Aetna and UnitedHealthcare negotiate rates of $538.00, which exceed the cash price, patients with high-deductible plans may find paying the cash rate more cost-effective if their insurance allowed amount is lower than $448.00. It is important to note that the facility's negotiated rate of $538.00 is significantly higher than the Medicare benchmark of $88.91, reflecting the typical markup found in commercial contracts.
Patients should verify their specific plan details before scheduling, as assuming that being in-network guarantees the lowest price can lead to unexpected costs, given that in-network rates vary widely across different payers. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final amount due by offering immediate liquidity incentives. Additionally, always request a full itemized bill to review every line item for accuracy, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute.