X-ray, hip
Facility: Goodland Regional Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $250
- Cash Discount Price: $250
- vs. Medicare Baseline: 2.81x 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 281% of the Medicare baseline (a markup of 181%). 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 | $173 | 195% |
| Wppa | $236 - $250 | 265% |
| UnitedHealthcare | $250 | 281% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Goodland Regional Medical Center in Goodland, KS, the facility's cash median price is $250.00, which is notably lower than the negotiated rates charged by in-network insurers. While Blue Cross Blue Shield has a single plan paying $173, WPPA plans range from $236 to $250, and UnitedHealthcare plans are set at $250, these amounts are often higher than the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $250 cash rate directly, as this bypasses the multi-layered billing cycle and potential administrative fees that inflate insurance payments. It is important to verify this cash price with the hospital before scheduling, as they may offer additional "self-pay" or "prompt-pay" discounts for upfront payment.
The facility's pricing is evaluated against federal benchmarks, showing a markup of 2.8 times the Medicare amount of $88.91. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates for commercial payers reflect standard industry pricing dynamics where administrative costs and network tiering influence final costs. To ensure you are receiving the best possible rate, we recommend requesting an itemized bill to review specific CPT codes and avoid summary bills that obscure individual charges. If you receive a balance bill for services not covered by your plan, you may be eligible for protections under the No Surprises Act, and you should always dispute any unexpected charges in writing rather than accepting summary invoices as final.