CMS Price Transparency Data

X-ray, hip

Facility: Englewood Hospital and Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $172
Cash Discount Price: $35
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Englewood Hospital and Medical Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.93x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $35 (39%)

Insurance Median: $172 (193%)

Cash: $35 (39% of Medicare)

Ins. Median: $172 (193% 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
Multiplan	$12 - $172	13%
Horizon New Jersey Health - Dsnp	$26 - $104	29%
Wellcare_755	$28	31%
Aetna	$30 - $182	34%
Americhoice_756	$32	36%
Amerigroup_754	$35	39%
Hip Health Plan	$93 - $99	105%
Heathnet Federal Services	$95	107%
Americhoice_732	$104	117%
Amerigroup_758	$104	117%
Amerihealth_766	$104	117%
Blue Cross Blue Shield	$104 - $204	117%
Clover_733	$104	117%
Humana	$104	117%
UnitedHealthcare	$104 - $199	117%
Emblem_734	$110	124%
Wellcare_765	$112	126%
Amerihealth_757	$162	182%
Health Care Support_787	$181	204%
Amerihealth_760	$187	210%
Horizon	$206 - $220	232%
Magnacare_763	$211	237%
Magnacare_769	$211	237%
Magnacare_768	$223	251%
Magnacare_770	$223	251%
Oxford_741	$226	254%
Cigna	$227	255%
Qualcare_752	$233	262%
Qualcare	$236	265%
Bergen	$264	297%
Coventry	$264	297%
Magnacare	$282	317%
Qualcare_783	$7,783	8754%

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 $35.
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 Englewood Hospital and Medical 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.