CMS Price Transparency Data

X-ray, hip

Facility: Holmes County Hospital and Clinics

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $217
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 2.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Holmes County Hospital and Clinics is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.44x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $116 (130%)
Insurance Median: $217 (244%)
Cash: $116 (130% of Medicare)
Ins. Median: $217 (244% 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 244% of the Medicare baseline (a markup of 144%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ms-Can-Molina-Lex $69 78%
Ms-Can-Magnolia-Lex $70 79%
Ms-Can-Truecare-Lex $70 79%
Advhealth-Lex $129 145%
Molina-Chip-Lex $148 166%
Magnolia-Chip-Lex $151 170%
Truecare-Chip-Lex $151 170%
Cigna $168 189%
Tricare $178 200%
Humana $181 204%
Blue Cross Blue Shield $188 211%
Mpcn-Lex $188 211%
Medadv_Uhc-Lex $197 222%
Firstchoice-Lex $203 228%
United-Lex $216 243%
Ambetter / Centene $218 245%
Medadv_Primewell-Lex $218 245%
Medicare (plans) $218 245%
Primewell-Lex $218 245%
United-Options-Lex $218 245%
Va_Ccn-Lex $218 245%
Medadv_Uhcdsnp-Lex $224 252%
Wellcare-Lex $224 252%
Ppoplus $226 254%
Devoted_Health-Lex $228 256%
Firsthealth-Lex $232 261%
Multiplan-Lex $232 261%
Aetna $246 277%
Phcs-Lex $261 294%
Molina_Exchange-Lex $290 326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals