CMS Price Transparency Data

X-ray, hip

Facility: Sunrise Hospital and Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $37
Cash Discount Price: $158
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Sunrise Hospital and Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $158 (178%)

Insurance Median: $37 (42%)

Cash: $158 (178% of Medicare)

Ins. Median: $37 (42% 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
Blue Cross Blue Shield	$7 - $127	8%
United	$7 - $624	8%
Humana	$8 - $48	9%
Amerigroup	$9 - $43	10%
Health Plan Nevada	$9 - $45	10%
Molina	$9 - $48	10%
Silver Summit	$9 - $58	10%
Aetna	$10 - $77	11%
Alignment Health Plan	$10 - $46	11%
Healthcare Partners Of Nv	$10 - $62	11%
Caremore	$11 - $48	12%
Community Care Health	$11 - $43	12%
Molina Healthcare	$11 - $45	12%
Multiplan	$11 - $2,180	12%
Sierra Hpn	$11 - $43	12%
Ambetter / Centene	$12 - $627	13%
Culinary Health Fund	$12 - $69	13%
Hometown Health Providers	$12 - $83	13%
Cigna	$13 - $452	15%
Sierra	$13 - $182	15%
Select Health	$21 - $688	24%
Legacy Provider Network	$90	101%
Corvel	$95 - $100	107%
Comp-Med Workers Comp	$97	109%
Olympus Medsave Usa	$100 - $2,240	112%
Prominence Healthfirst	$896	1008%
Cmn Global	$1,254	1410%
Nv Health & Welfare Trust	$1,792	2016%
First Health	$1,971 - $2,389	2217%
Medcare International	$2,240	2519%

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 $158.
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 Sunrise 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.