CMS Price Transparency Data

X-ray, hip

Facility: Southern Coos Hospital & Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $142
Cash Discount Price: $130
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Southern Coos Hospital & Health Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.60x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $130 (146%)

Insurance Median: $142 (160%)

Cash: $130 (146% of Medicare)

Ins. Median: $142 (160% 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.

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	$19 - $199	21%
Cigna	$19 - $169	21%
Moda Health Plan - All Other Plans	$19 - $191	21%
Providence Preferred - All Plans	$21 - $204	24%
Tricare	$40 - $125	45%
Aetna	$46 - $193	52%
Atrio Mcr Adv - Allplans	$46 - $142	52%
Confederated Tribes - All Plans	$46 - $142	52%
Moda Mcr Adv	$46 - $142	52%
Pacific Source Mcr Adv	$46 - $142	52%
Advanced Health - All Plans	$135	152%
Healthnet - All Plans	$178	200%
Prov Netwrk Of America - All Plans	$193	217%
Three Rivers - All Plans	$193	217%
UnitedHealthcare	$193	217%
First Choice - All Plans	$197	222%
Multiplan - All Plans	$199	224%
First Health - All Plans	$204	229%
Pacific Source - All Other Plans	$204	229%

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 $130.
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 Southern Coos Hospital & Health 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.