CMS Price Transparency Data

X-ray, hip

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $46
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Cincinnati Children's Hospital Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $73 (82%)
Insurance Median: $46 (52%)
Cash: $73 (82% of Medicare)
Ins. Median: $46 (52% 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
Aetna $7 - $221 8%
Blue Cross Blue Shield $7 - $229 8%
Caresource_In $7 - $28 8%
Humana $7 - $89 8%
Mhs_In $7 - $27 8%
Passport_Ky $7 - $61 8%
United_Health_Care_Ky $7 - $62 8%
Wellcare_Ky $7 - $61 8%
Amerihealth_Caritas_Oh $17 - $92 19%
Caresource_Oh $17 - $85 19%
Molina_Oh $17 - $93 19%
Buckeye_Oh $18 - $97 20%
United_Health_Care_Oh $20 - $89 22%
Caresource_Oh_Insurance $26 - $112 29%
Medical_Mutual_Of_Ohio_Insurance $29 - $221 33%
Parkview_Signature_Care_Insurance $34 - $182 38%
Margaret_Mary_Health_Insurance $36 - $182 40%
Point_Comfort_Insurance $36 - $151 40%
United_Health_Care_Insurance $42 - $209 47%
Beechstreet_Insurance $44 - $228 49%
Cigna $44 - $221 49%
Health_Ohio_Network_Insurance $50 - $221 56%
Custom_Design_Benefits_Insurance $52 - $221 58%
Health_Smart_Preferred_Insurance $52 - $221 58%
Medical_Benefit_Administrators_Insurance $52 - $221 58%
Ohio_Health_Choice_Insurance $52 - $221 58%
Private_Health_Care_Systems_Insurance $53 - $224 60%
First_Health_Group_Insurance $54 - $228 61%
Health_Link_Insurance $54 - $228 61%
Evolutions_Health_Care_Systems $55 - $233 62%
Galaxy_Health_Insurance $55 - $233 62%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens