CMS Price Transparency Data

X-ray, hip

Facility: Southwest General Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $94
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Southwest General Health Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.06x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $186 (209%)
Insurance Median: $94 (106%)
Cash: $186 (209% of Medicare)
Ins. Median: $94 (106% 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 $31 - $110 35%
Caresource $31 - $94 35%
Humana $31 - $97 35%
Molina $31 - $110 35%
UnitedHealthcare $31 - $134 35%
Amerihealth Caritas $32 - $94 36%
Medical Mutual $35 - $38 39%
Medical Mutual-Ohio $35 - $63 39%
Blue Cross Blue Shield $63 - $94 71%
Valor Health $63 71%
Healthsmart $79 89%
Health Design Plus $92 103%
Clarity Health $99 111%
Healthspan $99 111%
Healthsmart Preferred $112 126%
Ohio Health Choice Plus $120 135%
Aetna $134 151%
Summacare $134 151%
Cigna $136 153%
Coventry $171 192%
First Health $171 192%
Ohio Health Choice $192 216%
Private Healthare Systems $198 223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals