CMS Price Transparency Data

X-ray, hip

Facility: Nicholas H Noyes Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $26
Cash Discount Price: $130
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Nicholas H Noyes Memorial Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 111 Clara Barton Street, Dansville, NY.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $130 (146%)

Insurance Median: $26 (29%)

Cash: $130 (146% of Medicare)

Ins. Median: $26 (29% 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
Blue Cross Blue Shield	$8 - $189	9%
Fidelis 5155	$8 - $45	9%
Medicaid / KanCare	$8 - $43	9%
UnitedHealthcare	$8 - $214	9%
Medicare (plans)	$9 - $152	10%
Aetna	$10 - $109	11%
Excellus 2201	$10 - $45	11%
Mvp 2900	$10 - $250	11%
Independent Health 5156	$13 - $68	15%
Molina Healthcare 1723	$13 - $28	15%
Cigna	$14 - $258	16%
Capital District Physicians Health Plan (Cdphp) 5149	$27 - $115	30%
Humana	$109	123%
Empire Plan 5179	$175	197%
Pomco Ins Co 5157	$232	261%

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 $130.
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 Nicholas H Noyes Memorial 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.