X-ray, hip
Facility: William Newton Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $133
- Cash Discount Price: $281
- vs. Medicare Baseline: 1.50x 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.
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 |
|---|---|---|
| Triwest- All Plans | $98 | 110% |
| UnitedHealthcare | $101 - $253 | 114% |
| Blue Cross Blue Shield | $101 - $165 | 114% |
| Ambetter / Centene | $101 - $281 | 114% |
| Providrs Care Nexus | $172 | 193% |
| Providrs Care - All Other Plans | $197 | 222% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at William Newton Hospital in Winfield, Kansas, the cash price is $281.00, which matches the facility's gross charge and the median cash rate reported for this service. While the hospital is a Critical Access Hospital owned by the local government, the negotiated rates paid by insurance plans range from $98 to $281, with the median negotiated amount being $133.00. Because the cash price ($281.00) is significantly higher than the median negotiated rate ($133.00), patients with high-deductible plans or those without insurance may find it financially advantageous to pay the cash price directly, provided they can secure a prompt-pay discount. It is important to note that while the facility's cash rate is the highest among the payers listed, commercial insurance contracts often result in lower out-of-pocket costs for members who have met their deductibles, as the insurer pays a portion of the service before the patient owes the remainder.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the hospital's full chargemaster list, as the latter is often inflated. The Medicare amount for this code is $88.91, and the facility's cash rate represents a 1.5x markup relative to this federal baseline. Although the facility's rating is 4 out of 5, the pricing structure reflects standard commercial dynamics where administrative costs and contract terms influence the final price. Consumers should be aware that summary bills often obscure individual line items, so requesting a full itemized audit is a critical step to identify any unbundled codes or services not rendered. Furthermore, if