X-ray, hip
Facility: Hospital District #6 Patterson Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $201
- Cash Discount Price: $170
- vs. Medicare Baseline: 2.26x 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 226% of the Medicare baseline (a markup of 126%). 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 | $163 - $172 | 183% |
| UnitedHealthcare | $180 - $225 | 202% |
| Providers Care (Wppa)-All Plans | $350 - $394 | 394% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at Hospital District #6 Patterson Health Center in Anthony, KS, the cash median price is $170.00, while the median negotiated rate paid by insurance is $201.00. This indicates that paying cash directly may result in a lower out-of-pocket cost compared to using insurance for this specific service, as the negotiated rate exceeds the cash price. The facility is a Critical Access Hospital owned by the government, and while the Medicare amount for this code is $88.91, patients should verify their specific plan details, as commercial negotiated rates can sometimes be higher than cash prices due to administrative costs and contract structures.
The data shows that Blue Cross Blue Shield pays between $163 and $172, UnitedHealthcare between $180 and $225, and Providers Care between $350 and $394, with the latter being significantly higher than the facility's cash rate. Because the facility is in-network for these payers, the No Surprises Act generally protects patients from balance billing for emergency or non-emergency services, though patients should still review their itemized bills to ensure no unbundled codes or services not rendered are included. To minimize costs, patients should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, and request a detailed itemized statement to audit for any errors before finalizing payment.