CMS Price Transparency Data

X-ray, hip

Facility: Poplar Bluff Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $111
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Poplar Bluff Regional Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$167

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $167 (188%)
Insurance Median: $111 (125%)
Cash: $167 (188% of Medicare)
Ins. Median: $111 (125% 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
Medicaid / KanCare $15 - $202 17%
Self Pay $19 - $242 21%
Blue Cross Blue Shield $20 - $272 22%
Cigna $42 - $807 47%
Evolutions Healthcare $42 - $550 47%
UnitedHealthcare $42 - $543 47%
Tyson Foods $43 - $555 48%
Access Health Services, Llc $44 - $575 49%
Parker Hannifin $46 - $706 52%
Healthlink $48 - $631 54%
First Health $50 - $656 56%
Blue Traditional $57 - $779 64%
Coventry Wc $62 - $807 70%
Municipal Health $62 - $807 70%
Multiplan $67 - $878 75%
Phcs $67 - $878 75%
Compresults Wc $70 - $908 79%
Veterans Eval Services $76 85%
Node Champva $88 99%
Tricare $88 99%
Medicare (plans) $92 103%
Node United Behavioral Health Mcr Adv $92 103%
Humana $93 105%
Node Hospice Non Par Agree $93 105%
Node Va $93 105%
Node Ahs Mcr Adv $96 108%
Node Devoted Health Mcr Adv $96 108%
Node Pphp Mcr Adv $106 119%
Centurion Correctional $117 132%
Us Department Of Labor $117 132%
Naphcare $177 199%
Home State Exchange $233 262%
W W Wood $233 262%
Blue Access $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals