X-ray, hip
Facility: Hodgeman County Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $212
- Cash Discount Price: $241
- vs. Medicare Baseline: 2.38x 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 238% of the Medicare baseline (a markup of 138%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $165 - $173 | 186% |
| Humana | $193 | 217% |
| UnitedHealthcare | $193 - $286 | 217% |
| Triwest - All Plans | $193 | 217% |
| Medicaid / KanCare | $193 - $301 | 217% |
| Aetna | $241 | 271% |
| First Health - All Plans | $271 | 305% |
| Wppa (Provdrscare) - All Plans | $286 | 322% |
| Health Partners - All Plans | $286 | 322% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Hodgeman County Health Center in Jetmore, KS, the facility's cash price of $241.00 is significantly lower than the average negotiated rates paid by major insurers, which range from $193 to $301 depending on the plan. While the facility is a Critical Access Hospital owned by the local government, commercial payers like UnitedHealthcare and Medicaid/KanCare have negotiated rates that exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that the facility does not appear to offer a specific "prompt-pay" discount in this dataset, but patients should always ask at registration about self-pay or prompt-pay incentives before scheduling, as these discounts can reduce the final bill by 20% to 50% if paid upfront.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the facility's gross charge. The Medicare amount for this code is $88.91, and the facility's cash rate of $241.00 represents a markup of 2.4 times the Medicare rate, which aligns with the typical range of 120% to 150% considered fair for commercial pricing. If you receive a bill from an out-of-network provider at this in-network facility, you may be subject to balance billing for the difference between the allowed amount and the full charge, though the No Surprises Act protects you from such surprise bills for emergency care and non-emergency services at in-network hospitals. To ensure accuracy, always request a detailed