CMS Price Transparency Data

X-ray, hip

Facility: St Francis Hospital - the Heart Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $104
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at St Francis Hospital - the Heart Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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%)
Insurance Median: $104 (117%)
Ins. Median: $104 (117% 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
Affinity Health Plan $13 - $28 15%
Centerlight Healthcare $13 - $104 15%
Elderplan Inc. $13 - $104 15%
Emblem Health $13 - $234 15%
Fidelis Care New York $13 - $104 15%
Health First $13 - $234 15%
Health Plus $13 - $104 15%
Independent Health $13 - $104 15%
Medicaid / KanCare $13 15%
Mvp Health Plans $13 - $116 15%
Senior Whole Health $13 - $104 15%
UnitedHealthcare $13 - $182 15%
Aetna $62 - $104 70%
Mail Handlers Benefit Plan $74 83%
Meritain Health $74 83%
Nippon Life Insurance Company Of America $74 83%
Salvation Army $74 83%
Blue Cross Blue Shield $84 - $111 94%
Zadroga $84 94%
Centers Plan For Healthy Living $104 117%
Healthspring $104 117%
Liberty Health $104 117%
Longevity Health Plan $104 117%
Medicare (plans) $104 - $109 117%
Orthonet - Uniformed Services Family Health Plan $104 117%
Pmc $104 117%
Tricare $104 117%
Universal Healthcare $104 117%
Us Family Health Plan $104 117%
Veterans Affairs $104 117%
Humana $106 119%
Agewell New York $108 121%
Partners Health Plan $109 123%
Self Pay $111 125%
Wellcare Health Plan Inc $115 129%
Apwu $116 130%
Centivo $116 - $139 130%
Cigna $116 - $528 130%
Daniel H Cook $116 130%
Nalc $116 130%
Samba $116 130%
Local 1199 $140 157%
Surest $182 205%
American Plan Administrators $234 263%
Amerihealth Administrators $234 263%
Benefit Services $234 263%
Ghi Cbp Ny City Employee Alternate $234 263%
International Benefit Administrator $234 263%
Ultra Benefits Inc. $234 263%
Oscar Health $310 349%
Brighton $378 - $528 425%
Allied Wellfare Fund $528 594%
American Group Administrators $528 594%
Bakery & Confectionery Union $528 594%
Comprehensive Benefits Consultant $528 594%
Guardian Life Insurance Company Of America $528 594%
Maloney And Assoc $528 594%
Multiplan $528 594%
Performax $528 594%
Phcs $528 594%
Pomco $528 594%
Tpa Inc $528 594%
Unicare $528 594%
United Employees Health Plan $528 594%
Coventry $559 - $627 629%
Galaxy $680 765%
Three Rivers Provider Network $680 765%
Aither Health $755 849%
Alpha Care $755 849%
Dentaquest $755 849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals