CMS Price Transparency Data

X-ray, hip

Facility: Saratoga Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $49
Cash Discount Price: $469
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Saratoga Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.55x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.

Cash / Self-Pay

$469

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $469 (527%)

Insurance Median: $49 (55%)

Cash: $469 (527% of Medicare)

Ins. Median: $49 (55% 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 - $588	12%
Cdphp	$30 - $122	34%
Blue Cross Blue Shield	$33 - $719	37%
Fidelis	$33 - $122	37%
Medicare (plans)	$33 - $44	37%
Medicaid / KanCare	$34 - $43	38%
Blue Shield	$36 - $142	40%
Mvp	$39 - $74	44%
Hamaspik	$41 - $142	46%
UnitedHealthcare	$41 - $1,079	46%
Tricare	$43 - $44	48%
Emblem Health Ghi	$44 - $49	49%
Blue Shield Highmark	$51 - $121	57%
Mvp Essential Plan	$54 - $109	61%
Mvp Govt Programs	$54	61%
Cigna	$62 - $74	70%
Nascentia Health Options	$68	76%
Emblem	$70 - $104	79%
Mvp Commercial	$99 - $839	111%
Empire Plan Nyship	$562 - $796	632%
Multiplan	$703 - $1,019	791%
Magnacare	$843 - $1,139	948%

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 $469.
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 Saratoga 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.