CMS Price Transparency Data

X-ray, hip

Facility: Lincoln County Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $173
  • Cash Discount Price: $313
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Lincoln County Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.95x the Medicare baseline. Located in 624 N Second, Lincoln, KS.
Cash / Self-Pay
$313

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $313 (352%)
Insurance Median: $173 (195%)
Cash: $313 (352% of Medicare)
Ins. Median: $173 (195% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $173 195%

Consumer Guidance & Cost Commentary

For this X-ray, hip procedure at Lincoln County Hospital, the cash price is $313.00, which is lower than the facility's gross charge of $348.00. While the median negotiated rate for Blue Cross Blue Shield is $173.00, patients with high-deductible plans might find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash price. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices; therefore, asking the hospital for a self-pay or prompt-pay discount before scheduling is a smart financial move.

This facility is a Critical Access Hospital in Lincoln, KS, and the data reflects a single payer plan with a low to high range of $173.00. Although specific state or county average comparisons are not provided in this dataset, the Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing markup. If you receive a bill from this provider, ensure you request a full itemized statement to verify that no services were double-billed or unbundled, as over 80% of hospital bills contain errors. Additionally, if you are an out-of-network patient, the No Surprises Act may protect you from balance billing for emergency care or non-emergency services at in-network facilities, so do not immediately accept surprise charges without disputing them with your insurer.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 624 N Second, Lincoln, KS 67455
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals