X-ray, hip
Facility: Bob Wilson Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $213
- Cash Discount Price: $102
- vs. Medicare Baseline: 2.40x 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 240% of the Medicare baseline (a markup of 140%). 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 |
|---|---|---|
| Kansas Health | $82 | 92% |
| Humana | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| UnitedHealthcare | $82 - $213 | 92% |
| Aetna | $82 - $204 | 92% |
| Centura Employee Plan | $91 | 102% |
| Multiplan | $229 - $237 | 258% |
| Blue Cross Blue Shield | $231 | 260% |
| Health Partners Of Kansas | $240 | 270% |
| Wppa | $242 | 272% |
Consumer Guidance & Cost Commentary
For the CPT code 73502 (X-ray, hip) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median rate of $102.00 is notably lower than the negotiated rates paid by major insurers, which range from $82 to $242 depending on the plan. While the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated amounts often exceed the cash rate. It is important to note that while the facility offers a cash median of $102.00, the actual "self-pay" or "prompt-pay" discount should be confirmed directly with the hospital before scheduling, as these rates can vary based on payment timing and specific plan status.
The data indicates that the facility's negotiated rates are significantly higher than the Medicare benchmark of $88.91, with some commercial payers like Multiplan and Health Partners Of Kansas negotiating rates up to $242. This markup reflects the administrative costs and contract dynamics inherent in commercial insurance, where rates often average 200% to 300% of the Medicare baseline. If you receive a bill that includes balance billing for out-of-network ancillary services, remember that the No Surprises Act prohibits providers from charging you the difference between their chargemaster and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. To ensure accuracy, always request a full itemized CPT-coded bill before paying, as summary invoices can obscure unbundled charges or services not rendered, and disputes regarding errors should be