X-ray, hip
Facility: Kiowa County Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $214
- Cash Discount Price: $204
- vs. Medicare Baseline: 2.41x 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 241% of the Medicare baseline (a markup of 141%). 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 - $214 | 195% |
| UnitedHealthcare | $192 - $240 | 216% |
| Health Partners Of Ks-All Plans | $211 | 237% |
| Celtic Comml Exchange-All Other Plans | $214 | 241% |
| Humana | $214 | 241% |
| Aetna | $214 | 241% |
| Medica Prime Mcare Cost-All Plans | $214 | 241% |
| Medicaid / KanCare | $240 | 270% |
| Providrs Care/Wppa-All Plans | $360 | 405% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median rate is $204.00, which is lower than the negotiated rates paid by most major insurers. While the facility's gross charge is $240.00, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates for payers like UnitedHealthcare and Blue Cross Blue Shield range from $192 to $240. It is important to note that Medicaid/KanCare and several other plans have a fixed allowed amount of $214.00, meaning the cash price could still result in a lower out-of-pocket cost if the patient's deductible is met. Additionally, as a Critical Access Hospital owned by the local government, the facility may offer prompt-pay discounts for upfront cash payments, which can further reduce the final bill compared to standard insurance processing.
When evaluating the value of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $88.91, and the facility's cash rate of $204.00 represents a markup of 2.4 times the Medicare rate. While commercial negotiated rates often average between 200% and 300% of Medicare, the cash price here is significantly lower than the typical commercial markup, offering a transparent baseline for pricing. Patients should avoid accepting summary bills that obscure individual charges and instead request a full itemized statement to ensure no unbundled codes or services not