X-ray, hip
Facility: Minneola District Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $187
- Cash Discount Price: $110
- vs. Medicare Baseline: 2.10x 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 210% of the Medicare baseline (a markup of 110%). 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 |
|---|---|---|
| Humana | $10 - $157 | 11% |
| Va Community Care Program-All Plans | $10 - $157 | 11% |
| UnitedHealthcare | $10 - $235 | 11% |
| Medicaid / KanCare | $37 - $235 | 42% |
| Aetna | $37 - $235 | 42% |
| Providrs Care Network-All Plans | $37 - $200 | 42% |
| Blue Cross Blue Shield | $173 | 195% |
| Corporate Plan Management-All Plans | $200 | 225% |
| Triwest-All Plans | $212 | 238% |
| Preferred Health Care (Coventry)-All Other Plans | $212 | 238% |
| Phc (Coventry) Leased Network | $223 | 251% |
| Health Partners Of Kansas-All Plans | $223 | 251% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Minneola District Hospital, the cash median price is $110.00, which is lower than the facility's negotiated rates of $187.00 and the median paid by insurers of $212.00. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average prices for comparison. However, the cash price of $110.00 is notably lower than the Medicare benchmark of $88.91, suggesting that for patients with high-deductible plans or those without insurance, paying cash upfront may be the most cost-effective option. Patients should verify if the hospital offers a "self-pay" or "prompt-pay" discount, which could further reduce the bill by bypassing the administrative costs associated with insurance claims processing.
Commercial insurance rates for this service vary significantly by payer, ranging from a low of $10.00 to a high of $235.00 across twelve different plans, with UnitedHealthcare and Medicaid/KanCare showing the widest ranges. The facility's ownership by a Government Hospital District may influence these negotiated rates, but patients must be aware that in-network coverage does not guarantee the lowest possible price, as some commercial rates exceed the cash price. To avoid unexpected costs, consumers should request an itemized bill to ensure no errors exist, such as unbundled codes or services not rendered, and should dispute any balance billing immediately if they receive a bill for the difference between the allowed amount and the chargemaster rate, particularly if the care was provided at an in-network facility.