CMS Price Transparency Data

X-ray, hip

Facility: Ochsner LSU Health Monroe

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $78
Cash Discount Price: $42
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Ochsner LSU Health Monroe is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$42

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: $42 (47%)

Insurance Median: $78 (88%)

Cash: $42 (47% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$29 - $80	33%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$29 - $68	33%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$29 - $68	33%
Humana	$29 - $80	33%
Louisiana Healthcare Connections (Healthy Louisiana)	$29 - $68	33%
UnitedHealthcare	$29 - $415	33%
Blue Cross Blue Shield	$63 - $80	71%
Cigna	$71	80%
Verity Health Network – Lsu First Choice	$77 - $179	87%
First Health Network	$78	88%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$80	90%
Medicare (plans)	$80	90%
Vantage Health Plan - Commercial	$112	126%
Multiplan/Phcs/American Lifecare	$128 - $299	144%
Usa Managed Care Network	$137 - $320	154%
Zelis	$141	159%
Healthcomp Ppo (Formerly Gilsbar 360	$200	225%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner LSU Health Monroe is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.