X-ray, hip
Facility: Morris County Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $179
- Cash Discount Price: $275
- vs. Medicare Baseline: 2.01x 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 201% of the Medicare baseline (a markup of 101%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $59 | 66% |
| Blue Cross Blue Shield | $165 - $179 | 186% |
| Va Ccn-All Plans | $179 | 201% |
| Coventry Mcr | $179 | 201% |
| UnitedHealthcare | $179 - $458 | 201% |
| Choice Care Mcr Adv-All Plans | $179 | 201% |
| Cigna | $331 | 372% |
| Aetna | $410 | 461% |
| Coventry Comm-All Other Plans | $412 | 463% |
| Multiplan-All Plans | $412 | 463% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Morris County Hospital in Council Grove, KS, the facility's cash median price of $275.00 is significantly higher than the Medicare benchmark of $88.91, reflecting a markup common in commercial healthcare. While the facility is a Critical Access Hospital owned by the local government, its negotiated rates vary widely among payers, ranging from a low of $59 for Providrs Care to a high of $458 for UnitedHealthcare. It is important to note that for patients with high-deductible plans, paying the cash price of $275.00 upfront may be more cost-effective than relying on insurance, as many commercial negotiated rates exceed this amount. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.
The data indicates that the facility's negotiated rates generally align with the median negotiated amount of $179.00, though specific payer contracts can result in higher charges, such as the $410 rate from Aetna or the $412 rate from Coventry Comm-All Other Plans. Since the facility is located in a Critical Access Hospital setting, the Medicare rate serves as the objective baseline for evaluating pricing fairness, as commercial rates often average 200% to 300% of this benchmark. Patients should avoid comparing these charges to the hospital's gross charge of $458.00, as this inflated list price does not reflect actual reimbursement standards. To