CMS Price Transparency Data

X-ray, hip

Facility: Ochsner St Martin Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $72
Cash Discount Price: $73
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Ochsner St Martin Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.81x the Medicare baseline. Located in 210 Champagne Boulevard, Breaux Bridge, LA.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $73 (82%)

Insurance Median: $72 (81%)

Cash: $73 (82% of Medicare)

Ins. Median: $72 (81% 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	$53 - $221	60%
Blue Cross Blue Shield	$53 - $72	60%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$53	60%
Humana	$53 - $88	60%
Medicare (plans)	$53	60%
Ochsner Health Plan	$53	60%
UnitedHealthcare	$53 - $166	60%
Wellcare Of Louisiana	$53	60%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$55	62%
Tricare	$62	70%
Verity Commercial And First Choice Network	$85	96%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$88	99%
Healthy Blue (Healthy Louisiana)	$88	99%
Louisiana Healthcare Connections (Healthy Louisiana)	$88	99%
Zelis	$170	191%
Cigna	$207	233%

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 $73.
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 St Martin Hospital 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.