X-ray, hip
Facility: Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $291
- Cash Discount Price: $414
- vs. Medicare Baseline: 3.27x 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 327% of the Medicare baseline (a markup of 227%). 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 |
|---|---|---|
| Tricare | $104 - $310 | 117% |
| Humana | $104 - $310 | 117% |
| Medicare (plans) | $105 - $314 | 118% |
| Ambetter / Centene | $114 - $342 | 128% |
| Blue Cross Blue Shield | $183 | 206% |
| Coventry - All Other Plans | $187 - $559 | 210% |
| Health Partners Of Kansas - All Plans | $198 - $590 | 223% |
| Preferred Healthcare-All Plans | $198 - $590 | 223% |
| Wppa/Providers Care-All Plans | $291 - $869 | 327% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Memorial Hospital in Abilene, KS, the cash price is $414.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average for this procedure, reflecting the typical markup found in commercial billing. While commercial insurance plans like Tricare and Humana negotiate rates ranging from $104 to $310, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can be more cost-effective than relying on insurance, provided the patient's out-of-pocket costs do not outweigh the savings. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate may not be necessary if the deductible has already been met.
To ensure you receive the most accurate pricing, always request an itemized bill before paying, as summary bills often obscure individual charges and administrative fees. If you choose to pay out-of-pocket, ask the hospital about prompt-pay discounts, which can reduce the total cost by 20% to 50% for upfront payment. Additionally, be aware that Medicare rates for this service are $88.91, serving as a benchmark to evaluate the facility's pricing structure; commercial rates are frequently marked up significantly above this federal baseline. Memorial Hospital, a Critical Access Hospital owned by a government hospital district, has a facility rating of 2, and while the median negotiated rate across payers is $291.00, individual plan allowances vary widely, with some carriers charging up to $869. Always confirm the exact allowed amount with the billing department prior