CMS Price Transparency Data

X-ray, hip

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $108
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mary Hitchcock Memorial Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $163 (183%)
Insurance Median: $108 (121%)
Cash: $163 (183% of Medicare)
Ins. Median: $108 (121% 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
Amerihealth Caritas Nh $7 - $84 8%
Beacon Health Strategies/Carelon $7 - $91 8%
Granite State Health Plan $7 - $93 8%
Blue Cross Blue Shield $10 - $647 11%
Martin'S Point Generations Advantage $10 - $99 11%
Mvp $10 - $497 11%
UnitedHealthcare $10 - $570 11%
Aetna $11 - $521 12%
Ambetter / Centene $11 - $212 12%
Cigna $11 - $509 12%
Martin'S Point Health Care $11 - $256 12%
Wellcare Health Plans $11 - $102 12%
Wellsense Health Plan $11 - $103 12%
Harvard Pilgrim Health Care Of Ne $13 - $476 15%
Mass General Brigham Health Plan $30 - $462 34%
Tufts Health Plan $35 - $433 39%
Maine Community Health Options $205 - $545 231%
Coventry $280 - $646 315%
First Health/Hcvm $280 - $646 315%
Phcs $290 - $668 326%
Corvel $296 - $683 333%
Ccmsi $306 - $705 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals