CMS Price Transparency Data

X-ray, hip

Facility: Merit Health River Oaks

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $79
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Merit Health River Oaks is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $119 (134%)
Insurance Median: $79 (89%)
Cash: $119 (134% of Medicare)
Ins. Median: $79 (89% 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
Cigna $6 - $255 7%
Self Pay $7 - $282 8%
UnitedHealthcare $8 - $342 9%
Trimed Billing Solutions $9 - $384 10%
Ms State Hospital Of Whitfield Ms $12 - $486 13%
First Choice Standard $14 - $589 16%
First Choice Coventry $16 - $666 18%
First Choice Mpcn Standard $17 - $704 19%
First Choice Ppo Plus $17 - $704 19%
Phcs $19 - $768 21%
Aetna $22 - $896 25%
Benefit Administration Services $22 - $1,088 25%
Benefit Management Systems $22 - $1,088 25%
Citizens State Bank Inc $22 - $1,088 25%
First Choice Stratose $25 - $1,024 28%
Prime Health Services $25 - $1,024 28%
American Health Group $27 - $1,088 30%
Beech Street $27 - $1,088 30%
Formost $27 - $1,088 30%
Usa Mco $27 - $1,088 30%
One Health Plan $28 - $1,152 31%
Ms Dept Of Rehabilitation Services $31 - $1,280 35%
Veterans Eval Services $31 - $75 35%
Medicaid / KanCare $67 - $195 75%
Caresource Truecare $68 76%
Magnolia Mcd Chip $68 76%
Ms Work Comp $68 76%
Prime Health Wc $68 76%
Molina Chip $72 81%
Tricare $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node First Choice Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Molina $79 89%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Mcr Adv $79 89%
Node Hospice Non Par Agree $79 89%
Node Va $79 89%
Node First Choice Wellcare Mcr Adv $80 90%
Node Healthy Mississippi Mcr Adv $86 97%
Node Us Dept Of Labor $98 110%
First Choice Preferred $118 133%
Node First Choice Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Node First Choice Seven Corners $134 151%
Magnolia Exchange $138 155%
First Choice Lgp $171 192%
Vantage Health Commercial $177 199%
Blue Cross Blue Shield $189 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals