X-ray, hip
Facility: Neosho Memorial Regional Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $140
- Cash Discount Price: $327
- 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 |
|---|---|---|
| Medicaid / KanCare | $49 | 55% |
| Tricare | $134 | 151% |
| Medadv_Allwell | $140 | 157% |
| Aetna | $140 | 157% |
| Medicare (plans) | $140 | 157% |
| Va_Ccn | $140 | 157% |
| Humana | $140 | 157% |
| Blue Cross Blue Shield | $140 - $191 | 157% |
| Medadv_Uhc | $140 | 157% |
| Ambetter / Centene | $220 | 247% |
| Wppa_Providrscare | $362 | 407% |
| United | $363 | 408% |
| Cigna | $414 | 466% |
| Coventry | $414 | 466% |
| Hpk | $414 | 466% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median rate is $327.00, while the median negotiated rate across 15 payers is $140.00. This data indicates that for patients with high-deductible plans or those without insurance, paying cash directly may result in a lower out-of-pocket cost compared to using an in-network plan, as the negotiated rates here exceed the cash price. However, patients should verify their specific plan's allowed amount, as some commercial payers like Blue Cross Blue Shield have a range of $140 to $191, which could still be higher than the cash option. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill by bypassing administrative processing fees.
The facility's pricing is benchmarked against the Medicare rate of $88.91, showing a markup of 1.6 times the Medicare amount. While commercial negotiated rates often average 200% to 300% of Medicare, this specific service reflects a negotiated rate of 140% of the Medicare benchmark, which aligns with fair pricing standards. Patients should be aware that summary bills often obscure individual charges, so requesting a full itemized CPT-coded statement is essential to identify any errors, unbundled codes, or services not rendered before payment. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act may protect the patient from paying the difference between the