X-ray, hip
Facility: Community Memorial Healthcare, Inc.
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $188
- Cash Discount Price: $355
- vs. Medicare Baseline: 2.11x 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 211% of the Medicare baseline (a markup of 111%). 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 | $163 - $266 | 183% |
| Blue Cross Blue Shield | $173 | 195% |
| UnitedHealthcare | $203 | 228% |
Consumer Guidance & Cost Commentary
For this X-ray of the hip at Community Memorial Healthcare in Marysville, Kansas, the cash price is $355.00, which matches the facility's median negotiated rate and the state average. While the Medicare benchmark is $88.91, indicating a significant markup on the federal baseline, the cash price remains the lowest option available in this dataset. Patients with high-deductible plans or those without insurance may find paying the full cash price of $355.00 more cost-effective than relying on insurance, as the negotiated rates for Aetna, Blue Cross Blue Shield, and UnitedHealthcare range from $163 to $266, yet these amounts are often subject to deductibles and copays that could exceed the cash total. It is important to verify your specific plan's deductible status before assuming insurance will result in lower out-of-pocket costs.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can obscure individual charges or unbundled codes that inflate the total. If you receive a balance bill for services rendered at an in-network facility, you may be entitled to protections under the No Surprises Act, which limits billing for out-of-network providers at in-network hospitals. Additionally, ask the billing department about prompt-pay discounts, which can reduce the final amount if you settle the account in full within a short window, bypassing the administrative costs associated with insurance claims processing.