CMS Price Transparency Data

X-ray, hip

Facility: Phelps Memorial Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $198
Cash Discount Price: $411
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Phelps Memorial Health Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.23x the Medicare baseline. Located in 1215 Tibbals St, Holdrege, NE.

Cash / Self-Pay

$411

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $411 (462%)

Insurance Median: $198 (223%)

Cash: $411 (462% of Medicare)

Ins. Median: $198 (223% 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 223% of the Medicare baseline (a markup of 123%). 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
Blue Cross Blue Shield	$10 - $437	11%
Good Samaritan Mcr Adv - All Plans	$10 - $198	11%
Medica Mcr Adv	$10 - $198	11%
UnitedHealthcare	$10 - $446	11%
Va Ccn - All Plans	$10 - $198	11%
Wellcare Mcr Adv - All Plans	$10 - $198	11%
Aetna	$11 - $424	12%
Three Rivers - All Plans	$12 - $237	13%
Providrs Care/Wppa - All Plans	$14 - $414	16%
Ambetter / Centene	$15 - $514	17%
Provider Network Of American - All Plans	$15 - $428	17%
6 Degrees Hlth - All Plans	$18 - $368	20%
Medica-All Other Plans	$18 - $432	20%
Partners Hlth Alliance - All Plans	$18 - $368	20%
Midwest Ntwrk Alliance - All Plans	$19 - $437	21%
First Health - All Plans	$32 - $437	36%
Molina Mcaid - All Plans	$34 - $202	38%
Cpi Benefit Group-All Plans	$411 - $414	462%
Chi Health Partners - All Plans	$434 - $437	488%

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 $411.
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 Phelps Memorial 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.