CMS Price Transparency Data

X-ray, hip

Facility: Ocean Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $130
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Ocean Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.46x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $92 (103%)
Insurance Median: $130 (146%)
Cash: $92 (103% of Medicare)
Ins. Median: $130 (146% 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
Karna $19 - $92 21%
UnitedHealthcare $56 - $219 63%
Amerihealth $64 - $65 72%
Aetna $67 - $379 75%
Clover $85 96%
Horizon $86 - $391 97%
Amerigroup $88 99%
Vaccn $88 - $96 99%
Wellcare $88 - $96 99%
Seoul Medical Group $92 - $97 103%
United Community/Americhoice $92 - $101 103%
Blue Cross Blue Shield $96 108%
Cigna $128 - $132 144%
Oxford $219 - $256 246%
Qualcare $235 - $416 264%
Activecare First McO $316 - $402 355%
Intergroup $316 355%
Bergen Risk $355 399%
Prime Health $361 406%
Brighton Health Plan $378 425%
Multiplan - PHCS $383 - $402 431%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 Jack Martin Blvd, Brick, NJ 08724
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals