CMS Price Transparency Data

X-ray, hip

Facility: Indiana Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $64
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Indiana Regional Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.72x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $120 (135%)
Insurance Median: $64 (72%)
Cash: $120 (135% of Medicare)
Ins. Median: $64 (72% 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.

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
UnitedHealthcare $26 - $134 29%
Upmc Health Plan $27 - $287 30%
Ambetter / Centene $30 - $94 34%
Amerihealth Caritas $30 - $94 34%
Highmark $36 - $250 40%
Geisinger Health Plan $41 - $94 46%
Tricare $43 - $334 48%
Aetna $45 - $278 51%
Cigna $45 - $231 51%
Highmark Wholecare $45 - $91 51%
Humana $45 - $89 51%
Medicare (plans) $45 - $91 51%
United Mine Workers Of America $45 - $91 51%
Geisinger $64 - $254 72%
Pa Health And Wellness Commercial $64 - $254 72%
Department Of Human Services And Torrance State Hospital $210 236%
Premier Comp Solutions, Llc $301 339%
Miscellaneous Commercial $334 376%
Pa Workers Compensation $334 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals