CMS Price Transparency Data

X-ray, hip

Facility: Jfk University Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $117
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Jfk University Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.32x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $93 (105%)
Insurance Median: $117 (132%)
Cash: $93 (105% of Medicare)
Ins. Median: $117 (132% 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 $20 - $92 22%
Amerihealth $57 - $63 64%
Aetna $73 - $379 82%
UnitedHealthcare $78 - $232 88%
Clover $81 91%
Horizon $86 - $419 97%
Vaccn $88 - $98 99%
Amerigroup $88 - $98 99%
Wellcare $88 - $98 99%
United Community/Americhoice $92 - $102 103%
Seoul Medical Group $97 109%
Blue Cross Blue Shield $98 110%
Cigna $132 148%
Oxford $232 261%
Activecare First McO $316 355%
Intergroup $316 355%
Bergen Risk $338 380%
Qualcare $349 - $365 393%
Brighton Health Plan $361 406%
Prime Health $361 406%
Multiplan - PHCS $383 431%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals