CMS Price Transparency Data

X-ray, hip

Facility: Adena Fayette Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $234
Cash Discount Price: $177
vs. Medicare Baseline: 2.63x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Adena Fayette Medical Center is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.63x the Medicare baseline. Located in 1430 Columbus Avenue, Washington Ch, OH.

Cash / Self-Pay

$177

Average discount available for prompt cash payment at this facility.

Insurance Median

$234

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: $177 (199%)

Insurance Median: $234 (263%)

Cash: $177 (199% of Medicare)

Ins. Median: $234 (263% 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 263% of the Medicare baseline (a markup of 163%). 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
Blue Cross Blue Shield	$120 - $246	135%
Aetna	$145 - $280	163%
Buckeye Community Health Plan	$145	163%
Humana	$145	163%
Medical Mutual Of Ohio	$145 - $266	163%
Medigold	$145	163%
Molina	$145	163%
Care Source	$148	166%
Molina Marketplace	$159	179%
United Medical Resources Ohcp	$222	250%
UnitedHealthcare	$222 - $224	250%
Cigna	$244	274%
Ohio Ppo Connect	$247	278%
The Health Plan	$247	278%
Care Source Just4Me	$261	294%
Medical Mutual Of Ohio Supermed	$266	299%
First Health	$277	312%
Ohio Health Choice	$281	316%
Multiplan/Private Healthcare Systems	$336	378%
Sidecar Health	$399	449%

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 $177.
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 Adena Fayette Medical Center 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.