CMS Price Transparency Data

X-ray, hip

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $158
Cash Discount Price: $247
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Independence Health System Butler Memorial Hospita is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.78x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$247

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $247 (278%)

Insurance Median: $158 (178%)

Cash: $247 (278% of Medicare)

Ins. Median: $158 (178% 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
Pnoa	$55 - $282	62%
Highmark	$66 - $179	74%
Highmark - Ind.& Managed Care	$66 - $199	74%
Highmark Aca - Direct Blue	$66 - $112	74%
Highmark Community Blue	$66 - $175	74%
Workers Comp	$84	94%
Life Butler County	$85	96%
Martin'S Point - Usfhp	$85 - $124	96%
Medicare (plans)	$85	96%
Peak Health	$85 - $247	96%
Provider Partners	$85	96%
Tricare	$85	96%
UnitedHealthcare	$85 - $217	96%
Aetna	$87 - $282	98%
Humana	$88	99%
Amerihealth	$89	100%
Geisinger	$89 - $353	100%
Devoted Health Plan	$90 - $141	101%
The Health Plan	$90 - $199	101%
Pa Health & Wellness	$91	102%
American Health Plan	$93	105%
Gateway	$95 - $371	107%
Ellwood Group	$106 - $169	119%
Upmc	$119 - $371	134%
Ccbh - Behavioral Health	$164 - $176	184%
Cigna	$176 - $194	198%
Private Healthcare Systems	$247 - $300	278%
Devon	$265	298%
Intergroup	$282	317%
Multiplan	$318	358%

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 $247.
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 Independence Health System Butler Memorial Hospita 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.