X-ray, hip
Facility: Kearny County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $226
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.54x 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 254% of the Medicare baseline (a markup of 154%). 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 |
|---|---|---|
| Community Care Health Plan Of | $193 - $258 | 217% |
| Blue Cross Blue Shield | $193 - $258 | 217% |
| American Health Plans | $193 | 217% |
| Aetna | $193 - $258 | 217% |
| UnitedHealthcare | $193 | 217% |
| Rocky Mountain Hospital&Medica | $258 | 290% |
| Paradigm | $258 | 290% |
| Wps Gha - Mac J5 Part A | $516 | 580% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Kearny County Hospital in Lakin, KS, the facility's negotiated rate of $226.00 matches the median negotiated rate across all payers, while the gross charge is $226.00. This service is provided by a Critical Access Hospital with government-local ownership, and the facility's location is in zip code 67860. When comparing pricing benchmarks, the Medicare amount for this procedure is $88.91, which serves as the objective baseline for evaluating the facility's markup. Commercial negotiated rates typically average between 200% and 300% of Medicare rates, whereas fair pricing is generally defined as 120% to 150% of the Medicare amount. In this specific case, the negotiated rate of $226.00 represents approximately 2.5 times the Medicare amount, indicating a significant markup relative to the federal government's fixed reimbursement standard.
Patients should be aware that cash-pay options may offer lower costs than insurance coverage, particularly for those with high-deductible plans where the insurance negotiated rate exceeds the cash price. Although the cash median is not available in the current data, it is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount. These discounts are designed to provide immediate liquidity to the facility by bypassing the administrative costs associated with claims processing and reducing the risk of bad debt. Furthermore, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services