X-ray, hip
Facility: Amberwell Atchison Association
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $222
- Cash Discount Price: $434
- vs. Medicare Baseline: 2.50x 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 250% of the Medicare baseline (a markup of 150%). 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 |
|---|---|---|
| Superior Select Mcr Adv - All Plans | $143 | 161% |
| Humana | $143 - $195 | 161% |
| Triwest - All Plans | $143 | 161% |
| Va Ccn - All Plans | $143 | 161% |
| UnitedHealthcare | $143 - $779 | 161% |
| Blue Cross Blue Shield | $165 - $173 | 186% |
| Ambetter / Centene | $222 | 250% |
| Cigna | $239 | 269% |
| Aetna | $239 | 269% |
| Oscar - All Plans | $326 | 367% |
| Centrus Health Direct - All Plans | $326 | 367% |
| Multiplan - All Plans | $339 | 381% |
| Wppa Providrs Care - All Plans | $391 | 440% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Amberwell Atchison Association in Atchison, KS, the cash price is $434.00, which matches the facility's median paid amount. This cash rate is significantly higher than the Medicare benchmark of $88.91, indicating a markup of 2.5 times the federal baseline. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rates vary widely among the 13 payers, ranging from $143 for Superior Select Mcr Adv to $391 for Wppa Providers Care. Notably, the median negotiated rate across all payers is $222.00, which is lower than the cash price, suggesting that patients with high-deductible plans might save money by paying the cash rate directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling.
Patients should be aware that insurance claims often result in higher out-of-pocket costs due to administrative overhead and contract dynamics, even when the facility is in-network. The data shows that while some payers like Humana and Triwest have a consistent allowed amount of $143, others like UnitedHealthcare have a wide range from $143 to $779, reflecting the variability in network tiers and local wage indexes. To avoid unexpected balance billing, consumers should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice. Since the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, patients should dispute any surprise bills and refuse to