CMS Price Transparency Data

X-ray, hip

Facility: Mercy Hospital - Cassville

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $293
Cash Discount Price: $238
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Mercy Hospital - Cassville is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.30x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $238 (268%)

Insurance Median: $293 (330%)

Cash: $238 (268% of Medicare)

Ins. Median: $293 (330% 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 330% of the Medicare baseline (a markup of 230%). 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
Medicaid / KanCare	$28 - $190	31%
Aetna	$31 - $326	35%
Humana	$31 - $311	35%
Medicare (plans)	$82 - $157	92%
Blue Cross Blue Shield	$83 - $355	93%
UnitedHealthcare	$116 - $348	130%
Dept Of Veteran Affairs Contracted [320106]	$125	141%
Tricare	$148	166%
Cherokee Nation Health Serv Contracted [320066]	$151	170%
Cigna	$151 - $348	170%
Cross Timbers Hospice [20098]	$151	170%
Elara Caring Aspire Hospice [20433]	$151	170%
Globalhealth Contracted [320145]	$151	170%
Halo Hcr Inc Hospice Contracted [320432]	$151	170%
Halo Hcr Inc Hospice [20432]	$151	170%
Indian Health Service Contracted [320198]	$151	170%
Kindful Hospice Contracted [320434]	$151	170%
Kindful Hospice [20434]	$151	170%
Medical Associates Health Contracted [320444]	$151	170%
Mercy Hospice Okc [20252]	$151	170%
Mercy Mgd Behavioral Health Contracted [320259]	$151	170%
Pace Of The Ozarks Contracted [320518]	$151	170%
Provider Partners Health Plans Contracted [320450]	$151	170%
Qual Choice Contracted [320325]	$151	170%
Healthscope Contracted [320182]	$153	172%
Administrative Payor Contracted [320005]	$165	186%
Centivo Contracted [320505]	$187	210%
Ambetter / Centene	$190	214%
Home State Health Plan Contracted [320187]	$190	214%
Novasys Contracted [320285]	$190	214%
Healthlink Contracted [320179]	$238 - $329	268%
Preferred Health Plan Contracted [320522]	$238	268%
Health Systems Inc Contracted [320174]	$293	330%
Insurance System Inc Contracted [320465]	$293	330%
Point C Contracted [320238]	$293 - $329	330%
Point C [20238]	$293	330%
United Medical Resources Contracted [320454]	$293 - $311	330%
Workers Comp [20426]	$293 - $329	330%
Municipal Health Plan Contracted [320271]	$296	333%
Medica Contracted [320239]	$328	369%
90 Degree Benefits Contracted [320436]	$329	370%
Aither Health Contracted [320449]	$329	370%
American Healthcare Alliance Contracted [320020]	$329	370%
Auxiant Contracted [320462]	$329	370%
Benefit Management Contracted [320052]	$329	370%
Ebms Contracted [320493]	$329	370%
Edison Health Solutions Contracted [320502]	$329	370%
Evolutions Health Care Contracted [320124]	$329	370%
Imagine 360 Contracted [320494]	$329	370%
Mercy Benefit Admin Contracted [320251]	$329	370%
Reflect Health Contracted [320492]	$329	370%
Show-Me Health Administrators Contracted [320483]	$329	370%
Usa Managed Care Org Contracted [320429]	$329	370%
Yuzu Health Contracted [320521]	$329	370%
First Health Contracted [320128]	$348	391%
Multiplan Contracted [320270]	$348	391%
Private Health Care Systems Contracted [320320]	$348	391%

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 $238.
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 Mercy Hospital - Cassville 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.