CMS Price Transparency Data

X-ray, hip

Facility: The University of Vermont Health Network - Champl

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $44
Cash Discount Price: $544
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at The University of Vermont Health Network - Champl is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $544. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.49x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$544

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $544 (612%)

Insurance Median: $44 (49%)

Cash: $544 (612% of Medicare)

Ins. Median: $44 (49% 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
UnitedHealthcare	$7 - $806	8%
Blue Cross Blue Shield	$8 - $676	9%
Mvp	$9 - $841	10%
Aetna	$10 - $754	11%
Capital District Physicians' Health Plan	$10 - $833	11%
Fidelis Care	$10 - $108	11%
Humana	$10 - $102	11%
Martins Point	$10 - $115	11%
Veterans Affairs Community Care Network	$10 - $108	11%
Highmark Blueshield	$13 - $835	15%
Wellpath	$14 - $161	16%
Harvard Pilgrim	$24 - $846	27%
Magnacare	$24 - $846	27%
St. Regis	$24 - $108	27%
Coventry	$27 - $951	30%
Multiplan	$28 - $1,004	31%
Emblem Health	$846	952%

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 $544.
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 The University of Vermont Health Network - Champl 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.