CMS Price Transparency Data

X-ray, hip

Facility: Buffalo Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $279
Cash Discount Price: $279
vs. Medicare Baseline: 3.14x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Buffalo Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.14x the Medicare baseline. Located in 303 Catlin Street, Buffalo, MN.

Cash / Self-Pay

$279

Average discount available for prompt cash payment at this facility.

Insurance Median

$279

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: $279 (314%)

Insurance Median: $279 (314%)

Cash: $279 (314% of Medicare)

Ins. Median: $279 (314% 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 314% of the Medicare baseline (a markup of 214%). 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
Ucare Pmap (A B C D E G N O S U R H)	$67 - $150	75%
Blue Cross Blue Shield	$70 - $268	79%
Medicaid / KanCare	$83	93%
Aetna	$85 - $444	96%
South Country Health Alliance	$85	96%
Medicare (plans)	$90	101%
Medica	$93 - $296	105%
Medica Health System	$164 - $312	184%
Health Partners	$220 - $551	247%
Healthpartners	$225 - $505	253%
Americas Ppo (Araz)(B D N O R S V)	$256 - $576	288%
Americas Ppo (Araz) (B D N H O R S)	$279 - $627	314%
First Health (A C E G H U B D N O R S)	$279 - $627	314%
Medica Mhps	$296	333%
All Other Contracted Care (A B C D E G H N O R S U)	$332 - $746	373%
UnitedHealthcare	$336	378%

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 $279.
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 Buffalo 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.