CMS Price Transparency Data

X-ray, hip

Facility: Mercy Hospital of Buffalo

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $45
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercy Hospital of Buffalo is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $180 (202%)
Insurance Median: $45 (51%)
Cash: $180 (202% of Medicare)
Ins. Median: $45 (51% 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
UnitedHealthcare $8 - $45 9%
Univera Healthcare Essential [100170] $9 - $39 10%
Blue Cross Blue Shield $17 - $45 19%
Fidelis Essential [100163] $17 - $54 19%
Molina Essential [100167] $17 - $96 19%
Amerigroup [350102] $23 - $43 26%
Medicaid / KanCare $34 - $81 38%
Independent Health Essential [100166] $34 - $97 38%
Vna Option Mltc [350110] $34 - $43 38%
Crime Victims [100176] $34 - $43 38%
Excellus Rochester McD [350117] $34 - $43 38%
Tuscarora Nation [550120] $34 - $43 38%
Hospice [550001] $35 - $45 39%
Medicare (plans) $36 - $117 40%
VA Veterans Affairs [700001] $39 - $45 44%
Univera Healthcare [100169] $39 - $55 44%
Beacon Essential [350122] $41 - $54 46%
Ghi [100153] $43 48%
UPMC Health Plan [100181] $43 - $82 48%
Aetna $45 - $48 51%
Fallon Health [450115] $45 51%
Cigna $45 - $66 51%
Seneca Nation [450119] $45 51%
Magnacare [100142] $45 51%
Tricare $45 51%
Meritain [100063] $45 51%
Champ VA [700002] $45 51%
Covid19 Hrsa [45013] $45 51%
Catholic Health Life Pace [400005] $45 51%
Humana $45 - $48 51%
Fidelis Dual Advantage [450120] $47 - $48 53%
Wellcare Fidelis Dual [450451] $47 - $48 53%
Iha First Choice [800001] $49 - $134 55%
Independent Health [100165] $49 - $194 55%
Wellcare [450129] $50 56%
Fidelis Exchange [100164] $52 - $54 58%
Mvp Healthcare [100168] $54 61%
Beacon Health Options [100023] $54 61%
No Fault [114001] $59 - $81 66%
Federal Workers Compensation [500100] $81 91%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals