CMS Price Transparency Data

X-ray, hip

Facility: Glens Falls Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $59
Cash Discount Price: $100
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Glens Falls Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.66x the Medicare baseline. Located in 100 Park Street, Glens Falls, NY.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $100 (112%)

Insurance Median: $59 (66%)

Cash: $100 (112% of Medicare)

Ins. Median: $59 (66% 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
Aetna	$11 - $224	12%
Cdphp	$30 - $135	34%
Blue Shield	$32 - $114	36%
Medicare (plans)	$33 - $44	37%
Mvp Commercial	$33 - $422	37%
UnitedHealthcare	$33 - $227	37%
Medicaid / KanCare	$34 - $43	38%
Blue Cross Blue Shield	$36 - $174	40%
Emblem Health Ghi	$38 - $44	43%
Mvp	$39 - $126	44%
Tricare	$43 - $44	48%
Fidelis	$44 - $160	49%
Blue Shield Highmark	$50 - $121	56%
Cigna	$62 - $74	70%
Magnacare	$104 - $200	117%
Hamaspik	$129 - $174	145%
Nascentia Health Options	$129 - $174	145%
Emblem	$159 - $214	179%
Empire Plan Nyship	$169 - $227	190%
Multiplan	$169 - $227	190%

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 $100.
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 Glens Falls 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.