CMS Price Transparency Data

X-ray, hip

Facility: Boston Children's Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $490
Cash Discount Price: $690
vs. Medicare Baseline: 5.51x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Boston Children's Hospital is $490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.51x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$690

Average discount available for prompt cash payment at this facility.

Insurance Median

$490

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: $690 (776%)

Insurance Median: $490 (551%)

Cash: $690 (776% of Medicare)

Ins. Median: $490 (551% 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 551% of the Medicare baseline (a markup of 451%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$128 - $456	144%
Unicare	$141	159%
Cdphp	$338 - $586	380%
Harvard Pilgrim	$351 - $466	395%
United	$413 - $576	465%
Aetna	$414 - $578	466%
Mgb/Allways	$420 - $510	472%
Tufts Public Plan	$424 - $425	477%
United Ri Nj Ny	$435	489%
Ambetter / Centene	$436	490%
Carelon Strategies/Bhs	$448	504%
UnitedHealthcare	$448 - $586	504%
Carelon/Beacon	$518	583%
Fallon	$526 - $532	592%
Health New England	$558	628%
Cigna	$586 - $623	659%
Ets/Lifetrac	$586	659%
Interlink Transplant	$586	659%
Community Health Options	$621	698%
Humana	$621	698%
Coventry/Hcvm/First Health	$635	714%
Multiplan/Phcs	$635 - $656	714%

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 $690.
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 Boston Children's 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.