CMS Price Transparency Data

X-ray, hip

Facility: St Louis Childrens Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $213
Cash Discount Price: $179
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at St Louis Childrens Hospital is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.40x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $179 (201%)

Insurance Median: $213 (240%)

Cash: $179 (201% of Medicare)

Ins. Median: $213 (240% 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 240% of the Medicare baseline (a markup of 140%). 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
Aetna	$86 - $236	97%
Blue Cross Blue Shield	$86 - $254	97%
Essence Healthcare [221]	$86	97%
Humana	$86 - $223	97%
UnitedHealthcare	$86 - $222	97%
Cox Health [757]	$90	101%
Medica [662]	$90	101%
Healthlink [225]	$145 - $226	163%
Cigna	$148 - $162	166%
Apwu Health Plan [216]	$162	182%
Consociate [478]	$162	182%
Nalc Health Benefit Plan [242]	$162	182%
Priority Health [648]	$162	182%
Sarah Bush Lincoln [636]	$162	182%
Cox Health Systems Insurance Company [220]	$164 - $221	184%
Allied Benefits [498]	$173 - $236	195%
Hope Trust [806]	$173	195%
Med-Pay [480]	$194 - $224	218%
Unicare [568]	$194 - $226	218%
Health Alliance [224]	$209	235%
Healthscope Benefits [258]	$213 - $239	240%
First Health Commercial [734]	$222	250%
Beechstreet [551]	$224	252%
Detego Health [868]	$224	252%
Health Systems Inc [620]	$224	252%
Healthcare Sol Mercy [609]	$224	252%
Multiplan Commercial [737]	$224	252%
Multiplan [240]	$224	252%
Phcs [244]	$224 - $239	252%
Preferred Health Professionals [561]	$226	254%
Coresource [497]	$236	265%
Fmh Benefit Service Inc [222]	$236	265%
Mail Handlers [495]	$236	265%
Medica [661]	$239	269%
Hfn [563]	$254	286%

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 $179.
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 St Louis Childrens Hospital 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.