CMS Price Transparency Data

X-ray, hip

Facility: Montefiore New Rochelle Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $71
Cash Discount Price: $232
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Montefiore New Rochelle Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $232 (261%)

Insurance Median: $71 (80%)

Cash: $232 (261% of Medicare)

Ins. Median: $71 (80% 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
Molina Healthcare Of Ny Affinity	$12 - $144	13%
Amidacare	$13 - $109	15%
Emblem	$13 - $286	15%
Empire	$13 - $286	15%
Fidelis	$13 - $104	15%
Hamaspik	$13 - $113	15%
Medicaid / KanCare	$13	15%
Metroplus	$13 - $135	15%
Mvp	$13 - $213	15%
UnitedHealthcare	$13 - $182	15%
Wellcare	$13 - $106	15%
Vnsny Choice	$14 - $104	16%
Vnsny Select Health	$14	16%
Healthfirst	$38 - $104	43%
Villagecaremax	$104	117%
Centerlight	$107	120%
Partners_Health_Plan	$109	123%
Humana	$115	129%
Oscar	$165	186%
Aetna	$187 - $210	210%
Centivo	$225	253%
Northwell	$280	315%

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 $232.
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 Montefiore New Rochelle Hospital 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.