X-ray, hip
Facility: Osborne County Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $227
- Cash Discount Price: $213
- vs. Medicare Baseline: 2.55x 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 255% of the Medicare baseline (a markup of 155%). 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 |
|---|---|---|
| UnitedHealthcare | $190 | 214% |
| Health Partners Of Kansas | $215 | 242% |
| Wppa | $238 | 268% |
| Blue Cross Blue Shield | $245 | 276% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502), the negotiated rates for UnitedHealthcare, Health Partners Of Kansas, Wppa, and Blue Cross Blue Shield range from $190 to $245, reflecting the facility's status as a Critical Access Hospital in Osborne, KS. While these commercial rates are generally higher than the cash price of $213, patients with high-deductible plans may find paying cash directly more cost-effective, as the cash rate is lower than the insurance negotiated amounts. It is important to note that the median negotiated rate of $227 is higher than the cash price, illustrating how administrative costs and insurance processing fees can inflate the final bill compared to self-pay options.
The facility's pricing is benchmarked against the Medicare rate of $88.91, which serves as the objective baseline for evaluating markup. The gross charge of $250 represents the full list price, but the actual cost to the patient depends heavily on their specific insurance plan and whether they qualify for prompt-pay discounts. Since prompt-pay discounts can reduce bills by 20% to 50% when paid upfront, patients should explicitly request a self-pay or prompt-pay rate before scheduling to avoid being billed the full insurance negotiated amount. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify that all ancillary services are covered under the facility's network agreements to prevent unexpected out-of-pocket expenses.