X-ray, hip
Facility: Kiowa District Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $198
- Cash Discount Price: $180
- vs. Medicare Baseline: 2.23x 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 223% of the Medicare baseline (a markup of 123%). 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 |
|---|---|---|
| Tricare | $70 - $106 | 79% |
| UnitedHealthcare | $144 - $271 | 162% |
| Health Partners Of Ks-All Plans | $158 - $238 | 178% |
| Healthchoice-All Plans | $160 | 180% |
| Humana | $162 - $245 | 182% |
| Multiplan-All Plans | $169 - $255 | 190% |
| Gbs Insurance - All Plans | $169 - $255 | 190% |
| Medicare (plans) | $171 - $257 | 192% |
| Aetna | $171 - $257 | 192% |
| Triwest-All Plans | $171 - $257 | 192% |
| Blue Cross Blue Shield | $172 | 193% |
| Medicaid / KanCare | $180 - $271 | 202% |
| Providers Care (Wppa)-All Plans | $270 - $406 | 304% |
| Liberty Healthshare-All Plans | $291 - $438 | 327% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Kiowa District Hospital in Kiowa, Kansas, the facility's cash price of $180.00 is lower than the state average, which sits at $194.00. While the hospital is a Critical Access Hospital owned by a government district, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. For instance, UnitedHealthcare's negotiated range spans from $144 to $271, and Providers Care (Wppa) has a high-end range of $270 to $406. If you have a high-deductible plan, paying the cash price of $180.00 upfront might be more cost-effective than relying on insurance, especially since some in-network payers charge significantly higher negotiated amounts than the cash rate.
To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill by 20% to 50%. It is also important to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. When evaluating the facility's pricing, the Medicare benchmark of $88.91 serves as a reliable baseline for the true cost of care; commercial rates are often marked up significantly above this federal standard. Finally, if you encounter a balance bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which prohibits balance billing for