CMS Price Transparency Data

X-ray, hip

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $72
Cash Discount Price: $268
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Munson Healthcare Otsego Memorial Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.81x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.

Cash / Self-Pay

$268

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: $268 (301%)

Insurance Median: $72 (81%)

Cash: $268 (301% 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
Blue Cross Blue Shield	$7 - $201	8%
Mclaren Health Plan	$7 - $270	8%
Meridian	$7 - $45	8%
Molina	$7 - $94	8%
Priority Health	$7 - $122	8%
UnitedHealthcare	$7 - $258	8%
Blue Care Network	$10 - $87	11%
Hap (Health Alliance Plan)	$10 - $258	11%
Humana	$10 - $87	11%
Medicare (plans)	$10 - $87	11%
Michigan Amish Medical Board	$10 - $87	11%
Northern Michigan Mennonite Group	$10 - $87	11%
Aetna	$11 - $261	12%
Asr Physicians Care Network	$16 - $258	18%
Cigna	$16 - $122	18%
Nomi Health	$17 - $258	19%
Employee Benefit Logistics	$18 - $147	20%
Munson Hospice	$154 - $852	173%
Hospice Of Michigan	$185 - $193	208%
Enterprise Group Planning/Employee Benefit Plan	$247 - $258	278%
Cofinity	$263 - $274	296%
Provider Network Of America/Hawaii Mainland Administrative Group Health	$263 - $274	296%
Three Rivers Provider Network	$263 - $274	296%

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 $268.
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 Munson Healthcare Otsego Memorial 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.