CMS Price Transparency Data

X-ray, hip

Facility: Sidney Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $177
Cash Discount Price: $115
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Sidney Health Center is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.99x the Medicare baseline. Located in 216 14Th Ave Sw, Sidney, MT.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$177

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: $115 (129%)

Insurance Median: $177 (199%)

Cash: $115 (129% of Medicare)

Ins. Median: $177 (199% 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.

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	$44 - $177	49%
Pacific Source	$49 - $177	55%
Aetna	$73 - $177	82%
Allegiance	$76 - $177	85%
Blue Cross Blue Shield	$76 - $186	85%
Cigna	$76 - $177	85%
Employee Benefit Management System	$77 - $177	87%
Sanford Health Plan	$82 - $177	92%
Mountain Health Co-Op	$83 - $180	93%

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 $115.
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 Sidney Health Center 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.