CMS Price Transparency Data

X-ray, hip

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $53
Cash Discount Price: $140
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Chan Soon- Shiong Medical Center at Windber is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $140 (157%)

Insurance Median: $53 (60%)

Cash: $140 (157% of Medicare)

Ins. Median: $53 (60% 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
Amerihealth Caritas	$23 - $83	26%
Geisinger	$24 - $140	27%
Highmark Wholecare	$26	29%
Upmc Health Plan	$26 - $83	29%
Pa Health & Wellness	$27 - $83	30%
United	$31 - $134	35%
Highmark	$35 - $166	39%
Aetna	$45 - $83	51%
Cigna	$45 - $99	51%
Humana	$45 - $83	51%
Senior Life	$45 - $85	51%
Va Ccn	$45 - $85	51%

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 $140.
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 Chan Soon- Shiong Medical Center at Windber 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.