CMS Price Transparency Data

X-ray, hip

Facility: Albany Medical Center Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $38
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Albany Medical Center Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.43x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $69 (78%)
Insurance Median: $38 (43%)
Cash: $69 (78% of Medicare)
Ins. Median: $38 (43% 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
Cdphp $7 - $116 8%
Blue Cross Blue Shield $8 - $116 9%
Fidelis $8 - $178 9%
Medicare (plans) $8 - $51 9%
Hamaspik $9 - $142 10%
Medicaid / KanCare $9 - $43 10%
Tricare $9 - $44 10%
Blue Shield Highmark $10 - $121 11%
Mvp $10 - $99 11%
UnitedHealthcare $10 - $539 11%
Aetna $11 - $144 12%
Emblem Health Ghi $11 - $97 12%
Nascentia $11 - $49 12%
Cigna $16 - $74 18%
Nys Department Of Corrections $25 - $92 28%
Blue Shield $33 - $83 37%
Nascentia Health Options $68 76%
Emblem $70 - $116 79%
Mvp Essential Plan $111 125%
Emblem_Ghi $116 130%
Magnacare $117 132%
Empire Plan Nyship $121 - $539 136%
Mvp Commercial $122 137%
Multiplan $129 - $573 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals