CMS Price Transparency Data

X-ray, hip

Facility: Munson Healthcare Manistee Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $47
Cash Discount Price: $409
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Munson Healthcare Manistee Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.53x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $409 (460%)

Insurance Median: $47 (53%)

Cash: $409 (460% of Medicare)

Ins. Median: $47 (53% 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 - $241	8%
Mclaren Health Plan	$7 - $361	8%
Meridian	$7 - $45	8%
Molina	$7 - $94	8%
Priority Health	$7 - $122	8%
UnitedHealthcare	$7 - $433	8%
Aetna	$10 - $416	11%
Hap (Health Alliance Plan)	$10 - $385	11%
Humana	$10 - $87	11%
Medicare (plans)	$10 - $87	11%
Michigan Amish Medical Board	$10 - $87	11%
Northern Michigan Mennonite Group	$10 - $87	11%
Prime Health Services	$10 - $443	11%
Wellcare Meridian	$10 - $87	11%
Cofinity	$14 - $423	16%
Provider Network Of America	$15 - $409	17%
Asr/Physicians Care	$16 - $385	18%
Cigna	$16 - $122	18%
Nomi Health	$17 - $385	19%
Employee Benefits Logistics	$18 - $147	20%
Munson Hospice	$240 - $852	270%
Hospice Of Michigan	$289	325%
Enterprise Group Planning/Employee Benefits Plan	$385	433%
Medical Cost Savings Solution	$385	433%
Three Rivers Provider Network	$409	460%
Multiplan	$423	476%
Great West Healthcare	$433	487%

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 $409.
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 Manistee 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.