X-ray, hip
Facility: Cloud County Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $378
- Cash Discount Price: $290
- vs. Medicare Baseline: 4.25x 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 425% of the Medicare baseline (a markup of 325%). 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 |
|---|---|---|
| Aetna | $187 - $577 | 210% |
| Mpi-All Plans | $198 - $590 | 223% |
| Health Partners - All Plans | $198 - $590 | 223% |
| Pponext-All Plans | $198 - $590 | 223% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at Cloud County Health Center in Concordia, KS, the facility's cash median price is $290, while the median negotiated rate paid by insurance plans is $378. This suggests that for patients with high-deductible plans or those without insurance, paying cash upfront could be a more cost-effective option, as the cash price is lower than the amount insurers typically negotiate. It is important to note that the facility is a Critical Access Hospital, and while the data shows a range of $187 to $590 across four payers, the cash rate often provides a baseline for self-pay patients. To maximize savings, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing costs.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $88.91 for this service. The cash price of $290 represents a markup of 4.3 times the Medicare amount, which is consistent with typical commercial pricing structures where rates often range from 200% to 300% of Medicare. While the data does not provide specific county or state average comparisons for this exact code, patients should be aware that comparing rates to the Medicare baseline helps identify if a facility's pricing is reasonable relative to the true cost of care. If a patient receives a bill that exceeds these benchmarks, they should request a detailed, itemized audit to verify that no services were unbundled or that charges for items not rendered were included, as over 80% of hospital bills contain errors that can be corrected.