X-ray, hip
Facility: Girard Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $140
- Cash Discount Price: $240
- vs. Medicare Baseline: 1.57x 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.
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 |
|---|---|---|
| Medicare (plans) | $140 | 157% |
| UnitedHealthcare | $140 - $380 | 157% |
| Kansas Superior Select-All Plans | $140 | 157% |
| Blue Cross Blue Shield | $140 - $173 | 157% |
| Aetna | $140 - $700 | 157% |
| Humana | $140 | 157% |
| Ambetter / Centene | $140 | 157% |
| Multiplan-All Plans | $370 | 416% |
| Uhhis-All Plans | $380 | 427% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at Girard Medical Center in Girard, KS, the facility's cash median price of $240.00 is significantly higher than the state average of $140.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this case, the median negotiated rate across nine payers is $140.00, which aligns with the state average but remains below the facility's cash price. This discrepancy highlights that for patients with high-deductible plans, paying the cash price directly might not be the most cost-effective option if their insurance allows a higher negotiated rate, though the data indicates the negotiated rate here is actually lower than the cash price.
To minimize unexpected costs, patients should verify their specific plan's allowed amount before scheduling, as commercial rates vary widely among the nine payers listed, ranging from $140 to $700. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the $240.00 cash price by 20% to 50% if settled upfront. Additionally, if you are billed for services from out-of-network providers at this in-network facility, you may be protected by the No Surprises Act, which bans balance billing for emergency and non-emergency care. Always request a full itemized bill to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute