X-ray, hip
Facility: Scott County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $206
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.32x 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 232% of the Medicare baseline (a markup of 132%). 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 | $49 - $218 | 55% |
| Humana | $96 | 108% |
| Wppa | $137 - $1,200 | 154% |
| Blue Cross Blue Shield | $173 | 195% |
| Aetna | $206 | 232% |
Consumer Guidance & Cost Commentary
For the X-ray of the hip (CPT 73502) at Scott County Hospital in Scott City, Kansas, the facility's negotiated rates range from $49 to $1,200 across five insurance plans, with a median negotiated amount of $206. This commercial rate is significantly higher than the Medicare benchmark of $88.91, reflecting the typical administrative markup associated with insurance contracts. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash-pay options are not listed in this report; however, asking the hospital directly about self-pay or prompt-pay discounts before scheduling can often result in substantial savings, especially if your insurance deductible has not yet been met.
It is important to understand that the wide variation in allowed amounts among payers, such as UnitedHealthcare's range of $49 to $218, stems from individual plan contracts rather than a single facility rate. If you have a high-deductible plan, paying the cash price upfront might be more affordable than your insurance paying its negotiated rate, provided you can afford the difference. Furthermore, if you receive care from an out-of-network provider at this in-network facility, federal protections under the No Surprises Act may prevent balance billing for emergency services, but you should always request an itemized bill to verify that no unbundled codes or services not rendered have been charged.