CMS Price Transparency Data

X-ray, hip

Facility: Mercy Hospital Southeast

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $139
  • Cash Discount Price: $315
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercy Hospital Southeast is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.56x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$315

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $315 (354%)
Insurance Median: $139 (156%)
Cash: $315 (354% of Medicare)
Ins. Median: $139 (156% 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.

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
Aetna $31 - $310 35%
Medicaid / KanCare $31 - $135 35%
Imagine 360 Contracted [320494] $56 63%
Blue Cross Blue Shield $83 - $488 93%
Cross Timbers Hospice [20098] $83 93%
Dept Of Veteran Affairs Contracted [320106] $83 93%
Elara Caring Aspire Hospice Contracted [320433] $83 93%
Elara Caring Aspire Hospice [20433] $83 93%
Halo Hcr Inc Hospice Contracted [320432] $83 93%
Halo Hcr Inc Hospice [20432] $83 93%
Humana $83 - $411 93%
Kindful Hospice Contracted [320434] $83 93%
Kindful Hospice [20434] $83 93%
Medicare (plans) $83 - $87 93%
Mercy Hospice Okc [20252] $83 93%
Pace Of The Ozarks Contracted [320518] $83 93%
Tricare $83 93%
Ambetter / Centene $84 94%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $84 94%
Home State Health Plan Contracted [320187] $84 94%
Hope Trust Contracted [320488] $84 94%
UnitedHealthcare $84 - $568 94%
Provider Partners Health Plans Contracted [320450] $95 107%
Consociate Consolidated Health Contracted [320490] $116 - $186 130%
Auxiant Contracted [320462] $139 - $165 156%
Centivo Contracted [320505] $139 156%
Ebms Contracted [320493] $139 156%
Healthlink Contracted [320179] $139 - $378 156%
Mercy Benefit Admin Contracted [320251] $139 - $329 156%
Reflect Health Contracted [320492] $144 162%
Preferred Health Plan Contracted [320522] $148 166%
Cigna $289 325%
First Health Contracted [320128] $310 349%
Health Alliance Contracted [320164] $315 354%
Aither Health Contracted [320449] $329 370%
Edison Health Solutions Contracted [320502] $329 370%
Mercy Benefit Admin [20251] $329 370%
Yuzu Health Contracted [320521] $329 370%
Workers Comp [20426] $363 - $387 408%
Multiplan Contracted [320270] $387 435%
Private Health Care Systems Contracted [320320] $387 435%
United Medical Resources Contracted [320454] $568 639%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals