CMS Price Transparency Data

X-ray, hip

Facility: Mercy Hospital Stoddard

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $132
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercy Hospital Stoddard is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.48x the Medicare baseline. Located in 1200 N One Mile Rd, Dexter, MO.
Cash / Self-Pay
$233

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $233 (262%)
Insurance Median: $132 (148%)
Cash: $233 (262% of Medicare)
Ins. Median: $132 (148% 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 $54 - $358 61%
Acentra Health Contracted [320527] $78 88%
Aetna $78 - $268 88%
Blue Cross Blue Shield $78 - $557 88%
Cross Timbers Hospice [20098] $78 88%
Dept Of Veteran Affairs Contracted [320106] $78 88%
Elara Caring Aspire Hospice Contracted [320433] $78 88%
Elara Caring Aspire Hospice [20433] $78 88%
Halo Hcr Inc Hospice Contracted [320432] $78 88%
Halo Hcr Inc Hospice [20432] $78 88%
Humana $78 88%
Kindful Hospice Contracted [320434] $78 88%
Kindful Hospice [20434] $78 88%
Medicare (plans) $78 - $83 88%
Mercy Hospice Okc [20252] $78 88%
Pace Of The Ozarks Contracted [320518] $78 88%
Tricare $78 88%
UnitedHealthcare $78 - $568 88%
Ambetter / Centene $80 90%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $80 90%
Home State Health Plan Contracted [320187] $80 90%
Hope Trust Contracted [320488] $80 90%
Provider Partners Health Plans Contracted [320450] $90 101%
Consociate Consolidated Health Contracted [320490] $110 - $176 124%
Auxiant Contracted [320462] $132 - $160 148%
Ebms Contracted [320493] $132 148%
Healthlink Contracted [320179] $132 - $286 148%
Imagine 360 Contracted [320494] $132 148%
Mercy Benefit Admin Contracted [320251] $132 - $243 148%
Reflect Health Contracted [320492] $136 153%
Preferred Health Plan Contracted [320522] $140 157%
Health Alliance Contracted [320164] $233 262%
Aither Health Contracted [320449] $243 273%
Edison Health Solutions Contracted [320502] $243 273%
Mercy Benefit Admin [20251] $243 273%
Yuzu Health Contracted [320521] $243 273%
Cigna $260 292%
First Health Contracted [320128] $268 301%
Workers Comp [20426] $268 - $286 301%
Multiplan Contracted [320270] $286 322%
Private Health Care Systems Contracted [320320] $286 322%
United Medical Resources Contracted [320454] $568 639%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 N One Mile Rd, Dexter, MO 63841
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals