CMS Price Transparency Data

X-ray, hip

Facility: Rockcastle County Hospital, Inc.

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $78
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Rockcastle County Hospital, Inc. is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $74 (83%)
Insurance Median: $78 (88%)
Cash: $74 (83% of Medicare)
Ins. Median: $78 (88% 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.

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 Hp Hmo - All Plans $19 - $108 21%
Caresource Mcaid $31 35%
Coventry Mcaid-All Plans $31 35%
Medicaid / KanCare $31 35%
Molina Mcaid $31 35%
UnitedHealthcare $31 - $350 35%
Blue Cross Blue Shield $48 - $300 54%
Multiplan-All Plans $60 - $340 67%
Prime Health Services-All Plans $60 - $340 67%
Tricare $61 69%
Integrated Hp-All Plans $62 - $356 70%
Corvel - All Plans $63 - $360 71%
Center Care-All Plans $66 - $380 74%
Cigna $68 - $388 76%
Caresource Mcr Adv-All Other Plans $82 92%
Humana $82 - $322 92%
Molina Marketplace - All Other Plans $82 92%
Molina Mcr Adv $82 92%
Signature Mcr Adv-All Plans $82 92%
Wellcare Mcr Adv-All Other Plans $82 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals