CMS Price Transparency Data

X-ray, hip

Facility: Samaritan Lebanon Community Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $51
Cash Discount Price: $104
vs. Medicare Baseline: 0.57x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Samaritan Lebanon Community Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.57x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $104 (117%)

Insurance Median: $51 (57%)

Cash: $104 (117% of Medicare)

Ins. Median: $51 (57% 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
Pacificsource	$9 - $110	10%
Devoted Health	$10 - $113	11%
Healthnet	$10 - $330	11%
Humana	$10 - $53	11%
Samaritan	$10 - $289	11%
Cigna	$11 - $330	12%
Ihn	$11 - $51	12%
Regence	$12 - $306	13%
Moda	$13 - $116	15%
Providence	$13 - $330	15%
Aetna	$18 - $323	20%
First Choice	$24 - $106	27%

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 $104.
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 Samaritan Lebanon 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.