CMS Price Transparency Data

X-ray, hip

Facility: Harlem Hospital Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $76
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Harlem Hospital Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.85x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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%)
Insurance Median: $76 (85%)
Ins. Median: $76 (85% 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
Aetna $8 - $1,131 9%
Healthfirst $9 - $161 10%
Amidacare $12 - $71 13%
Emblem $12 - $187 13%
Wellcare $12 - $140 13%
Metroplus $15 - $161 17%
Fidelis $17 - $161 19%
Oscar $17 - $156 19%
Blue Cross Blue Shield $71 - $187 80%
Carelon $71 - $152 80%
Senior Whole Health $71 80%
United $71 - $187 80%
United Behavioral Health $71 - $79 80%
Affinity $73 - $161 82%
Carelon (Amida Care) $73 82%
Vnsny $73 - $199 82%
Cigna $90 - $175 101%
Oxford $91 - $140 102%
Elderplan $104 - $152 117%
Vaccn $104 117%
Centers Plan For Healthy Living $108 121%
Centerlight $117 132%
Magnacare $175 197%
Multiplan $187 210%
Local 1199 $199 224%
Villagecare Max $199 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals