CMS Price Transparency Data

X-ray, hip

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $192
Cash Discount Price: $244
vs. Medicare Baseline: 2.16x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Mercy Hospital Oklahoma City, Inc is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.16x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$244

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $244 (274%)

Insurance Median: $192 (216%)

Cash: $244 (274% of Medicare)

Ins. Median: $192 (216% 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 216% of the Medicare baseline (a markup of 116%). 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
Medicaid / KanCare	$28 - $113	31%
Aetna	$31 - $272	35%
Humana	$31 - $259	35%
Tricare	$78 - $82	88%
Blue Cross Blue Shield	$82 - $88	92%
Champva [20065]	$82	92%
Cherokee Nation Health Serv Contracted [320066]	$82	92%
Cross Timbers Hospice [20098]	$82	92%
Dept Of Veteran Affairs Contracted [320106]	$82	92%
Elara Caring Aspire Hospice Contracted [320433]	$82	92%
Elara Caring Aspire Hospice [20433]	$82	92%
Halo Hcr Inc Hospice Contracted [320432]	$82	92%
Halo Hcr Inc Hospice [20432]	$82	92%
Indian Health Service Contracted [320198]	$82	92%
Kindful Hospice Contracted [320434]	$82	92%
Kindful Hospice [20434]	$82	92%
Longevity Health Plan [10477]	$82	92%
Medicare (plans)	$82 - $88	92%
Mercy Hospice Okc [20252]	$82	92%
Mercy Rehab Hospital Contracted [320260]	$82	92%
Provider Partners Health Plans Contracted [320450]	$82	92%
Qual Choice Contracted [320325]	$82	92%
UnitedHealthcare	$82 - $165	92%
Globalhealth Contracted [320145]	$84	94%
Cigna	$85 - $225	96%
Amg Spec Hosp Edmond [20034]	$88	99%
Ambetter / Centene	$113	127%
Home State Health Plan Contracted [320187]	$113	127%
Novasys Contracted [320285]	$113	127%
Medica Contracted [320239]	$119	134%
Community Care Contracted [320080]	$126 - $263	142%
Healthcare Highways Plus Contracted [320175]	$147 - $226	165%
Workers Comp [20426]	$152	171%
Webtpa Contracted [320417]	$158	178%
United Medical Resources Contracted [320454]	$165 - $244	186%
Osma Health Contracted [320292]	$169	190%
Health Choice Contracted [320166]	$176	198%
Healthsmart Preferred Care Contracted [320184]	$185 - $244	208%
Kempton Contracted [320214]	$185	208%
Aither Health Contracted [320449]	$226	254%
Auxiant Contracted [320462]	$226 - $244	254%
Benefit Management Contracted [320052]	$226 - $244	254%
Ebms Contracted [320493]	$226	254%
Healthlink Contracted [320179]	$226 - $244	254%
Imagine 360 Contracted [320494]	$226	254%
Mercy Benefit Admin Contracted [320251]	$226 - $244	254%
Quik Trip Contracted [320447]	$226	254%
Reflect Health Contracted [320492]	$226	254%
Show-Me Health Administrators Contracted [320483]	$226	254%
Yuzu Health Contracted [320521]	$226	254%
First Health Contracted [320128]	$232	261%
Federal Medical Center Contracted [320127]	$244	274%
Healthscope Contracted [320182]	$244	274%
Healthsmart Accel Contracted [320183]	$244	274%
Point C Contracted [320238]	$244	274%
Preferred Health Plan Contracted [320522]	$244	274%
Private Health Care Systems Contracted [320320]	$244 - $263	274%
Tri State Healthcare Coalition Contracted [320379]	$244	274%
Multiplan Contracted [320270]	$263 - $338	296%
Globalhealth Contracted [320144]	$267	300%
Preferred Community Choice Contracted [320311]	$286	322%
Centralink Contracted [320480]	$376	423%

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 $244.
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 Mercy Hospital Oklahoma City, Inc 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.