CMS Price Transparency Data
X-ray, hip
Facility: Mount Carmel St Ann's
Billing Code: 73502 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73502
- Insurance Median: $155
- Cash Discount Price: $327
- vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mount Carmel St Ann's is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.74x the Medicare baseline. Located in 500 South Cleveland Avenue, Westerville, OH.
Cash / Self-Pay
$327
Average discount available for prompt cash payment at this facility.
Insurance Median
$155
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: $327 (368%)
Insurance Median: $155 (174%)
Cash: $327 (368% of Medicare)
Ins. Median: $155 (174% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $74 - $106 | 83% |
| Aetna | $82 - $332 | 92% |
| Blue Cross Blue Shield | $82 - $376 | 92% |
| Hospice Mount Carmel | $84 - $101 | 94% |
| Oscar | $84 - $101 | 94% |
| UnitedHealthcare | $84 - $324 | 94% |
| The Health Plan | $86 - $218 | 97% |
| Geha | $149 - $324 | 168% |
| Gravie Admin Services | $149 | 168% |
| Healthez | $149 | 168% |
| Meritain | $149 | 168% |
| Webtpa | $149 | 168% |
| Access Health | $155 | 174% |
| Acclaim | $155 | 174% |
| Administrative Concepts | $155 | 174% |
| Allegeant | $155 | 174% |
| Allied Benefit Systems | $155 | 174% |
| American Family | $155 | 174% |
| American Healthcare Alliance | $155 | 174% |
| American National | $155 | 174% |
| American Republic | $155 | 174% |
| Amerihealth | $155 | 174% |
| Aultcare | $155 | 174% |
| Automated Benefit Services | $155 | 174% |
| Auxiant | $155 | 174% |
| Benefit Administrative Systems,Llc | $155 | 174% |
| Boon Chapman | $155 | 174% |
| Cam Administrative Services | $155 | 174% |
| Christian Brother Services | $155 | 174% |
| Christian Brothers Holy Cross | $155 | 174% |
| Claimchoice Adminstrators | $155 | 174% |
| Comprehensive Benefits | $155 | 174% |
| Continental Life Insurance | $155 | 174% |
| Coventry | $155 | 174% |
| Custom Benefit Administrators | $155 | 174% |
| Cypress Benefit Administrators | $155 | 174% |
| Employee Benefit Concepts | $155 | 174% |
| Employee Benefit Management | $155 | 174% |
| Forest County Potawatomi | $155 | 174% |
| Freedom Life Insurance Company | $155 | 174% |
| Group Administrators | $155 | 174% |
| Group Marketing Services | $155 | 174% |
| Group Pension Administrators | $155 | 174% |
| Guardian | $155 | 174% |
| Health America | $155 | 174% |
| Health Choices | $155 | 174% |
| Healthcare Management Admin | $155 | 174% |
| Insight | $155 | 174% |
| Intercare | $155 | 174% |
| Jfp Benefit Management | $155 | 174% |
| Jp Farley Corporation | $155 | 174% |
| Key Benefit Administrator | $155 | 174% |
| Liberty Union Life Assurance Co | $155 | 174% |
| Lucent Health | $155 | 174% |
| Luminare Health | $155 | 174% |
| Magnacare | $155 | 174% |
| Medcost | $155 | 174% |
| Mutual Health Services | $155 | 174% |
| Mutual Of Omaha | $155 | 174% |
| Ncas | $155 | 174% |
| Nippon Life Ins | $155 | 174% |
| Nova | $155 | 174% |
| Painters Union Insurance Fund | $155 | 174% |
| Physicians Mutual | $155 | 174% |
| Plumbers Local 98 Insurance Fund | $155 | 174% |
| Prairie States | $155 | 174% |
| Preferred One | $155 | 174% |
| Primary Physician Care | $155 | 174% |
| Professional Benefit Administrators | $155 | 174% |
| Secureone Preferred United Plans | $155 | 174% |
| Siho Insurance Services | $155 | 174% |
| Sisco Benefits | $155 | 174% |
| The Loomis Company | $155 | 174% |
| Trustmark Small Business Benefits | $155 | 174% |
| U Of M Health Plan | $155 | 174% |
| Unicare | $155 | 174% |
| Unified Group Services | $155 | 174% |
| Us Health And Life | $155 | 174% |
| Valenz | $155 | 174% |
| Varipro | $155 | 174% |
| Wps | $155 | 174% |
| Rural Carrier Health Benefit Plan | $156 | 175% |
| Enterprise Group Planning | $162 - $195 | 182% |
| Humana | $170 - $332 | 191% |
| Custom Design Benefits | $175 - $211 | 197% |
| First Health | $175 | 197% |
| Paramount Hmo | $175 | 197% |
| Quality Care Partners | $190 - $228 | 214% |
| Medben | $199 - $249 | 224% |
| Consociate | $203 | 228% |
| Health Ohio Network | $203 | 228% |
| Medical Mutual | $206 - $359 | 232% |
| Caresource | $242 | 272% |
| American Postal Workers Secondary | $245 | 276% |
| Cigna | $245 | 276% |
| Health Partners | $245 | 276% |
| Healthgram | $245 | 276% |
| Mvp | $245 | 276% |
| Priority Health | $245 | 276% |
| Healthlink Inc | $249 | 280% |
| Medical Benefits Mutual | $249 | 280% |
| Ohio Health Choice | $249 | 280% |
| Ohio Ppo Connect | $249 | 280% |
| Medi Share | $265 | 298% |
| Multiplan | $265 | 298% |
| Phcs | $265 | 298% |
| Philadelphia American Life Insurance | $265 | 298% |
| Ameriben | $266 | 299% |
| Luminare Health (Detroit) | $266 | 299% |
| Ohiohealthy | $266 | 299% |
| Osu Not Independent Choice | $266 | 299% |
| Twin Valley Psychiatric | $266 | 299% |
| Health Smart | $282 | 317% |
| Western & Southern Financial Group | $299 - $359 | 336% |
| Blue Benefit Administrators Of Massachusetts | $313 - $376 | 352% |
| Blue Care Network | $313 - $376 | 352% |
| Blue Distinction Transplant | $313 - $376 | 352% |
| Blue Shield - Ca | $313 - $376 | 352% |
| Blue Shield - Id (Regence) | $313 - $376 | 352% |
| Blue Shield - Ny Highmark Northeastern | $313 - $376 | 352% |
| Blue Shield - Ny Highmark Western | $313 - $376 | 352% |
| Blue Shield - Pa (Highmark) | $313 - $376 | 352% |
| Blue Shield - Wa (Regence) | $313 - $376 | 352% |
| Bccp | $332 | 373% |
| Medicaid / KanCare | $332 | 373% |
| Optima Health | $332 | 373% |
| Crime Victim Assistance | $632 | 711% |
| Ohio Safe Program | $632 | 711% |