X-ray, hip
Facility: Children'S Mercy South
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $364
- Cash Discount Price: $190
- vs. Medicare Baseline: 4.09x 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 409% of the Medicare baseline (a markup of 309%). 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 |
|---|---|---|
| UnitedHealthcare | $9 - $510 | 10% |
| Home State Health | $10 - $198 | 11% |
| Medicaid / KanCare | $10 - $57 | 11% |
| Healthy Blue | $10 - $226 | 11% |
| Cigna | $10 - $528 | 11% |
| Healthlink | $14 - $668 | 16% |
| Wppa Providrs Care | $14 - $493 | 16% |
| Health Midwest Comprehensive Care | $15 - $494 | 17% |
| American Healthcare Alliance | $15 - $645 | 17% |
| Medica | $19 - $442 | 21% |
| Blue Cross Blue Shield | $19 - $562 | 21% |
| Wellfit/Centrus | $20 - $493 | 22% |
| Nebraska Furniture Mart | $21 - $493 | 24% |
| Centivo | $21 - $493 | 24% |
| Mercy Health | $23 - $569 | 26% |
| Coxhealth Network | $24 - $562 | 27% |
| National Preferred Provider Network | $28 - $683 | 31% |
| Aetna | $455 - $516 | 512% |
| Orscheln | $493 | 554% |
| Quiktrip | $494 | 556% |
| Humana | $505 | 568% |
| Coventry Health Care Of Kansas | $562 | 632% |
| Multiplan | $577 | 649% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Children's Mercy South in Overland Park, KS, the facility's cash median price is $190.00, which is significantly lower than the gross charge of $396.00. While many commercial payers negotiate rates ranging from $9 to $683 depending on their specific plan, the cash price often serves as a more transparent benchmark for patients with high-deductible plans or those without insurance. It is important to note that commercial negotiated rates frequently exceed cash prices due to administrative overhead and contract dynamics; for instance, the median negotiated rate across payers is $364.00, which is higher than the cash option. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than paying cash directly.
To minimize unexpected costs, consumers should proactively request a "self-pay" or "prompt-pay" discount from the hospital before check-in, which can reduce the bill by 20% to 50% by bypassing insurance billing cycles. Additionally, if a patient receives a bill from an out-of-network provider at this facility, they may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services at in-network hospitals. If a balance bill is received, patients should dispute it in writing with the insurer rather than paying immediately, and they should always demand a full itemized CPT-coded bill before settling any debt, as summary bills often obscure errors or unbundled charges.