CMS Price Transparency Data

X-ray, hip

Facility: Ochsner Medical Center Acute

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $91
Cash Discount Price: $69
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Ochsner Medical Center Acute is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $69 (78%)

Insurance Median: $91 (102%)

Cash: $69 (78% of Medicare)

Ins. Median: $91 (102% 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
Tricare	$32 - $81	36%
Humana	$42 - $81	47%
UnitedHealthcare	$42 - $182	47%
Aetna	$43 - $127	48%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$43	48%
Healthy Blue (Healthy Louisiana)	$43	48%
Louisiana Healthcare Connections (Healthy Louisiana)	$43	48%
Medicaid / KanCare	$67 - $71	75%
Blue Cross Blue Shield	$80 - $97	90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$81	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$81	91%
Medicare (plans)	$81	91%
Ochsner Health Plan	$81	91%
Pace New Orleans	$89	100%
Christus Health Exchange Plan	$121	136%
Cigna	$162	182%
First Health Network	$208	234%
Louisiana Workers' Compensation Corporation (Lwcc)	$208	234%
Mississippi Physicians Care Network	$208	234%
Healthcomp & Personify Health (Formerly Gilsbar)	$220	247%
Claritev D/B/A Multiplan/Phcs/American Life Care	$222	250%
Zelis	$222	250%
Employers Health Network (Ehn)	$236	265%
Prime Health Services Ppo	$236	265%
Usa Managed Care Network	$236	265%
Behavioral Health Systems	$250	281%
Evolutions Healthcare	$250	281%
Galaxy Health Network Ppo	$250	281%
Galaxy Health Network Wc	$250	281%

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 $69.
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 Medical Center Acute 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.