CMS Price Transparency Data

X-ray, hip

Facility: Queens Hospital Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $73
Cash Discount Price: $105
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Queens Hospital Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.82x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $105 (118%)

Insurance Median: $73 (82%)

Cash: $105 (118% of Medicare)

Ins. Median: $73 (82% 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	$8 - $1,131	9%
Healthfirst	$9 - $160	10%
Amidacare	$12 - $71	13%
Emblem	$12 - $295	13%
Wellcare	$12 - $221	13%
Metroplus	$15 - $160	17%
Fidelis	$17 - $160	19%
Oscar	$17 - $203	19%
Blue Cross Blue Shield	$40 - $295	45%
Affinity	$48 - $160	54%
Centerlight	$55 - $184	62%
Elderplan	$55 - $240	62%
Centers Plan For Healthy Living	$57 - $108	64%
Hamaspik	$57	64%
Carelon	$71 - $240	80%
Senior Whole Health	$71	80%
United	$71 - $295	80%
United Behavioral Health	$71 - $78	80%
Carelon (Amida Care)	$73	82%
Vnsny	$73 - $313	82%
Cigna	$90 - $277	101%
Oxford	$91 - $221	102%
Vaccn	$104	117%
Local 1199	$116 - $313	130%
Magnacare	$277	312%
Multiplan	$295	332%
Villagecare Max	$313	352%

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 $105.
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 Queens Hospital Center 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.