CMS Price Transparency Data

X-ray, hip

Facility: Wooster Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $173
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Wooster Community Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.95x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $217 (244%)
Insurance Median: $173 (195%)
Cash: $217 (244% of Medicare)
Ins. Median: $173 (195% 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
Buckeye Mcaid-All Other Plans $50 56%
Caresource Mcaid $50 56%
UnitedHealthcare $50 - $206 56%
Blue Cross Blue Shield $51 - $199 57%
Molina Mcaid $51 57%
Aetna $52 - $217 58%
Amerihealth Mcaid-All Plans $52 58%
Tricare $82 92%
Buckeye Mcare $84 94%
Caresource Mcr Adv $84 94%
Humana $84 - $204 94%
Med Mutual Of Oh Mcr $84 94%
Molina Mcr $84 94%
Summacare Mcr $84 94%
The Health Plan Mcr Adv $84 94%
Valor Hp Mcr-All Plans $84 94%
Aultcare/Primecare Mcr Adv $106 119%
Magnipower-All Plans $109 123%
Caresource Exch - All Other Plans $120 135%
Molina Marketplace - All Other Plans $143 161%
Cerco-All Plans $152 171%
Aultcare Wayne County $162 182%
Aultcare/Primetime Exch $162 182%
Rayco-All Plans $162 182%
Clarity Health - All Plans $164 184%
Christian Health Ministries-All Plans $173 195%
Cigna $173 195%
Health Ohio Network Employer $173 195%
Wayne County-All Plans $173 195%
Healthsmart Accel $180 202%
Summacare Preferred Choice $180 202%
Health Ohio Network Ppo-All Other Plans $184 207%
Healthsmart Complete Ppo-All Other Plans $184 207%
Ohio Health Choice Supp $184 207%
Ohio Health Group Hlthy - All Other Plans $184 207%
Med Mutual Of Oh Exchange $186 209%
Med Mutual Of Oh Supermed $186 209%
Med Mutual Of Oh Trad-All Other Plans $186 209%
Health Plan Of Upper Ohio-All Plans $191 215%
The Health Plan Comm - All Other Plans $191 215%
Ohio Health Group Pref $193 217%
Aultcare/Primetime-All Other Plans $195 219%
Healthsmart Ppo $197 222%
Summacare-All Other Plans $201 226%
Ohio Health Choice-All Other Plans $204 229%
Healthsmart Hpo $206 232%
Osu-All Plans $206 232%
Central Benefits-All Plans $208 234%
First Health-All Plans $208 234%
Flora-All Plans $208 234%
Beech Street-All Plans $210 236%
Phcs-All Plans $210 236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals