CMS Price Transparency Data

X-ray, hip

Facility: Sparrow Ionia Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $76
Cash Discount Price: $45
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Sparrow Ionia Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.85x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $45 (51%)

Insurance Median: $76 (85%)

Cash: $45 (51% of Medicare)

Ins. Median: $76 (85% 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
Medicaid / KanCare	$7 - $98	8%
Medicare (plans)	$10 - $45	11%
Blue Cross Blue Shield	$17 - $107	19%
Aetna	$42 - $128	47%
Covenant Advantage	$42	47%
Medigold	$42	47%
Senior Community Care	$42	47%
Humana	$45 - $138	51%
Priority Health Medihmo	$89	100%
Priority	$104	117%
UnitedHealthcare	$130	146%
Cigna	$135	152%
Great West Healthcare	$135	152%
Asr	$136	153%
Blue Care Network	$136	153%
Health Alliance Plan	$136	153%
Cofinity	$138	155%
Mclaren Commercial	$151	170%

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 $45.
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 Sparrow Ionia 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.