X-ray, hip
Facility: Medicine Lodge Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $260
- Cash Discount Price: $274
- vs. Medicare Baseline: 2.92x 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 292% of the Medicare baseline (a markup of 192%). 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 | $219 | 246% |
| Humana | $249 | 280% |
| Aetna | $253 - $274 | 285% |
| UnitedHealthcare | $260 | 292% |
| Hpk-All Plans | $260 | 292% |
| Medicaid / KanCare | $274 | 308% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Medicine Lodge Memorial Hospital in Medicine Lodge, KS, the cash price is $274.00, which matches the facility's negotiated rate for Medicaid/KanCare and the gross charge. This cash price is significantly lower than the state average, as the facility's negotiated rate of $260.00 is below the median paid amount of $260.00 and the median negotiated rate of $260.00. While commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $253 to $274, patients with high-deductible plans may find paying the cash price of $274.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible is not met.
To ensure you receive the most accurate pricing, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the bill. If you are billed for services rendered by out-of-network providers at this facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency care. Additionally, if you receive a summary bill, request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected. Always verify your specific plan's allowed amounts before scheduling, as commercial negotiated rates vary by payer and can sometimes exceed the cash price.