X-ray, hip
Facility: Logan County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $309
- Cash Discount Price: $70
- vs. Medicare Baseline: 3.48x 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 348% of the Medicare baseline (a markup of 248%). 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 |
|---|---|---|
| Humana | $138 - $159 | 155% |
| Blue Cross Blue Shield | $173 | 195% |
| Health Partners - All Plans | $309 - $356 | 348% |
| Medicaid / KanCare | $325 - $375 | 366% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Logan County Hospital in Oakley, KS, the facility's cash median price of $70.00 is significantly lower than the average negotiated rates paid by commercial payers, which range from $138 to $375 depending on the insurance plan. While the facility's median negotiated rate of $309.00 aligns with the state average for this service, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a higher allowed amount than the cash rate. It is important to note that commercial rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments, making the $70.00 cash option a potential savings strategy for those who qualify.
When evaluating the cost relative to federal standards, the facility's cash price of $70.00 is approximately 79% of the Medicare benchmark amount of $88.91, indicating a pricing structure that is well below the typical commercial markup of 200% to 300% seen in many markets. Although the facility is a Critical Access Hospital with government local ownership, patients should still verify their specific plan details before scheduling, as some in-network contracts may still result in higher out-of-pocket costs than paying cash upfront. To maximize savings, patients are encouraged to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill by bypassing the administrative costs associated with insurance claims processing.