CMS Price Transparency Data

X-ray, hip

Facility: Strong Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $81
Cash Discount Price: $237
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Strong Memorial Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $237 (267%)

Insurance Median: $81 (91%)

Cash: $237 (267% of Medicare)

Ins. Median: $81 (91% 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	$13 - $297	15%
Excellus [2201]	$13	15%
Medicaid / KanCare	$13 - $94	15%
Molina Healthcare [1723], Molina Healthcare [5189]	$13	15%
Molina Healthcare [5189]	$13	15%
UnitedHealthcare	$13 - $115	15%
Mvp [2900]	$15 - $366	17%
Fidelis [5155]	$28 - $99	31%
Aetna	$44 - $221	49%
Elderplan [1316]	$44	49%
Excellus Bc/Bs [2201]	$44 - $82	49%
Icircle [1728]	$44	49%
Martins Point [1205]	$44 - $109	49%
Medicare (plans)	$44 - $144	49%
Nascentia [1729]	$44	49%
Highmark Bc/Bs Of Western Ny [5143]	$45 - $49	51%
Humana	$45 - $133	51%
Independent Health [5156]	$61 - $73	69%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$63 - $153	71%
Cigna	$106 - $397	119%
Capital District Physicians Health Plan (Cdphp) [5149]	$115 - $154	129%

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 $237.
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 Strong 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.