CMS Price Transparency Data

X-ray, hip

Facility: UPMC Northwest

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $127
Cash Discount Price: $134
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at UPMC Northwest is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.43x the Medicare baseline. Located in 100 Fairfield Drive, Seneca, PA.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $134 (151%)

Insurance Median: $127 (143%)

Cash: $134 (151% of Medicare)

Ins. Median: $127 (143% 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	$51 - $84	57%
Upmc Work Partners	$52	58%
Aetna	$56 - $146	63%
Upmc Health Plan	$62 - $86	70%
UnitedHealthcare	$88 - $92	99%
Cigna	$90 - $146	101%
Amerihealth Caritas	$91	102%
Highmark Wholecare (Prev Gateway)	$91 - $112	102%
Pa Health & Wellness	$91 - $123	102%
Intergroup	$146 - $3,704	164%
Coventry/First Health	$157	177%
Health Coalition Partners	$161	181%
Private Health Care Systems	$179	201%
Humana	$190	214%

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 $134.
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 UPMC Northwest 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.