CMS Price Transparency Data

X-ray, hip

Facility: The Children's Mercy Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $364
Cash Discount Price: $190
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at The Children's Mercy Hospital is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.09x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$364

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: $190 (214%)

Insurance Median: $364 (409%)

Cash: $190 (214% of Medicare)

Ins. Median: $364 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
UnitedHealthcare	$9 - $510	10%
Cigna	$10 - $528	11%
Healthy Blue	$10 - $226	11%
Home State Health	$10 - $198	11%
Medicaid / KanCare	$10 - $57	11%
Healthlink	$14 - $668	16%
Wppa Providrs Care	$14 - $493	16%
American Healthcare Alliance	$15 - $645	17%
Health Midwest Comprehensive Care	$15 - $494	17%
Blue Cross Blue Shield	$19 - $562	21%
Medica	$19 - $442	21%
Wellfit/Centrus	$20 - $493	22%
Centivo	$21 - $493	24%
Nebraska Furniture Mart	$21 - $493	24%
Mercy Health	$23 - $569	26%
Coxhealth Network	$24 - $562	27%
National Preferred Provider Network	$28 - $683	31%
Aetna	$455 - $516	512%
Orscheln	$493	554%
Quiktrip	$494	556%
Humana	$505	568%
Coventry Health Care Of Kansas	$562	632%
Multiplan	$577	649%

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 $190.
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 The Children's Mercy 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.