X-ray, hip
Facility: Golden Valley Memorial Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $88
- Cash Discount Price: $216
- vs. Medicare Baseline: 0.99x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Home State Health | $81 | 91% |
| UnitedHealthcare | $81 - $150 | 91% |
| Aetna | $88 | 99% |
| Humana | $88 | 99% |
| Ambetter / Centene | $106 | 119% |
Consumer Guidance & Cost Commentary
For this X-ray, hip procedure at Golden Valley Memorial Hospital in Clinton, MO, the cash median rate is $216, which is significantly lower than the facility's gross charge of $360. While the median negotiated rate for commercial payers is $88, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $216. It is important to note that the median paid amount is not available in this dataset, and the Medicare amount for this service is $88.91.
The facility is a Government-owned Acute Care Hospital with a rating of 3 stars. Although specific state and county average rates are not provided in the data, the cash rate of $216 represents a substantial discount compared to the facility's gross charge. To minimize costs, patients should verify if their specific insurance plan has a negotiated rate higher than the cash price and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the bill. Always request an itemized bill before paying to ensure accuracy and avoid balance billing issues.