X-ray, hip
Facility: Greenwood County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $128
- Cash Discount Price: $120
- vs. Medicare Baseline: 1.44x 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.
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 |
|---|---|---|
| Triwest - All Plans | $54 | 61% |
| UnitedHealthcare | $63 - $126 | 71% |
| Tricare | $63 | 71% |
| Choicecare Mcr Adv - All Plans | $63 | 71% |
| Integrated Health Plan - All Plans | $112 | 126% |
| Beech Street - All Plans | $128 | 144% |
| First Health Ccn Network | $128 | 144% |
| First Health - All Other Plans | $128 | 144% |
| Preferred Hs (Coventry) - All Plans | $135 | 152% |
| Principal Health Care Inc - All Plans | $142 | 160% |
| Amerigroup Mcaid-All Plans | $150 | 169% |
| Medicaid / KanCare | $150 | 169% |
| Blue Cross Blue Shield | $163 - $172 | 183% |
| Providrs Care/Wppa - All Plans | $225 | 253% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Greenwood County Hospital in Eureka, Kansas, the facility's cash median rate of $120.00 is lower than the state average of $126.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $63 to $225, patients with high-deductible plans may find paying cash directly more cost-effective, as the cash price avoids the administrative markup inherent in insurance billing. It is important to note that while the facility is a Critical Access Hospital owned by the local government, commercial insurance contracts often result in higher allowed amounts than the cash price; therefore, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not charged the full negotiated rate.
The Medicare benchmark for this service is $88.91, which serves as the objective baseline for evaluating the facility's pricing markup. The facility's cash rate of $120.00 represents a 35% increase over the Medicare amount, which aligns with the typical fair pricing range of 120% to 150% of Medicare, whereas many commercial negotiated rates can exceed 200% to 300% of this baseline. If a patient receives an itemized bill showing charges significantly higher than these benchmarks, they should request a formal itemized billing audit to identify potential errors such as code unbundling or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, under the No Surprises Act, patients are protected from balance billing