CMS Price Transparency Data

X-ray, hip

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $181
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Uofl Health - Shelbyville Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.04x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $193 (217%)
Insurance Median: $181 (204%)
Cash: $193 (217% of Medicare)
Ins. Median: $181 (204% of 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 204% of the Medicare baseline (a markup of 104%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Passport $68 - $254 76%
Humana $76 - $86 85%
Senior Care Communty Of Ky $80 90%
Blue Cross Blue Shield $81 - $219 91%
UnitedHealthcare $81 - $243 91%
Wellcare $81 - $111 91%
Cigna $83 93%
Essence Health $83 93%
Va Ccn $83 93%
Devoted $84 94%
Signature $85 - $254 96%
Aetna $86 97%
Communicare $87 98%
Velocity $99 - $499 111%
Key Benefit Administrators $107 120%
Prime Group Health $181 - $433 204%
Encore $305 343%
Multiplan $336 - $458 378%
Omca $484 544%
Corvel $509 572%
Cshn $509 572%
Health Smart $509 572%
National Comp Care $509 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 Hospital Drive, Shelbyville, KY 40065
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals