CMS Price Transparency Data

X-ray, hip

Facility: Fostoria Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $310
Cash Discount Price: $380
vs. Medicare Baseline: 3.49x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Fostoria Community Hospital is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.49x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$380

Average discount available for prompt cash payment at this facility.

Insurance Median

$310

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: $380 (427%)

Insurance Median: $310 (349%)

Cash: $380 (427% of Medicare)

Ins. Median: $310 (349% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 349% of the Medicare baseline (a markup of 249%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Paramount Health Care	$43 - $310	48%
Blue Cross Blue Shield	$44 - $384	49%
Health Alliance Plan	$44 - $439	49%
Health Value Management	$44 - $127	49%
Buckeye Community Health Plan	$46 - $130	52%
Meridian Health Plan Of Mi	$48	54%
Aetna	$51 - $392	57%
Buckeye Community Health Plan Inc	$51 - $212	57%
Dayton Area Health Plan Dba Caresource	$70 - $243	79%
UnitedHealthcare	$84 - $350	94%
Amerihealth	$88	99%
Veterans Affairs	$129	145%
Medical Mutual Of Ohio	$331 - $352	372%
Frontpath Health Coalition	$337	379%
Ohio Health Choice	$380	427%
Ohio Ppo Connect	$380 - $439	427%
Health Ohio Network	$462	520%
Connecticut General Life Insurance Company	$467	525%

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 $380.
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 Fostoria Community 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.