CMS Price Transparency Data

X-ray, hip

Facility: Maimonides Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $12
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Maimonides Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.13x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $140 (157%)
Insurance Median: $12 (13%)
Cash: $140 (157% of Medicare)
Ins. Median: $12 (13% 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
United Community Plan $5 - $120 6%
UnitedHealthcare $5 - $93 6%
Blue Cross Blue Shield $6 - $30 7%
Healthfirst $7 - $106 8%
Emblem Health - Hip Vip $8 - $12 9%
Oxford Health Plan $8 - $93 9%
Emblem Health - Hip $9 - $30 10%
Fidelis $9 - $12 10%
Healthfirst Early Start $9 - $10 10%
Local 1199 $9 - $35 10%
Metroplus $9 - $130 10%
Wellcare $9 - $12 10%
Cigna $10 - $85 11%
Visiting Nurse Svc Of Ny $10 - $11 11%
Aetna $11 - $109 12%
Centers Plan For Healthy Living $12 13%
Elderplan $12 - $31 13%
Emblem Health - Ghi $12 - $330 13%
Hamaspik $12 13%
Molina $12 - $21 13%
Villagecare Maxx Fida $12 - $23 13%
Oxford Liberty $16 - $93 18%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals