CMS Price Transparency Data

X-ray, hip

Facility: Thomas Jefferson University Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $84
Cash Discount Price: $103
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Thomas Jefferson University Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $103 (116%)

Insurance Median: $84 (94%)

Cash: $103 (116% of Medicare)

Ins. Median: $84 (94% 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
Pa Health_Wellness Chc	$29 - $41	33%
Medicaid / KanCare	$30 - $42	34%
Aetna	$42 - $214	47%
Keystone First	$62 - $87	70%
Ibc	$65 - $103	73%
Jefferson Health Plan Aca Qhp Exchange	$76	85%
Innovage	$80	90%
Inspira Life	$80	90%
Keystone First Vip Choice	$80 - $82	90%
Medicare (plans)	$80 - $93	90%
Point Of Comfort Refugee Resettlement	$80	90%
St Agnes	$80	90%
Tricare	$80	90%
UnitedHealthcare	$80 - $283	90%
Humana	$82	92%
Cigna	$84 - $112	94%
Devoted Health Participation	$84	94%
Provider Partners Health Plan	$86	97%
Allwell Pa Health_Wellness Ma	$89	100%
Perennial	$93	105%
Highmark Wholecare Gateway	$94	106%
Ibc Employee Benefit	$101	114%
Ibc Main Line Health	$101	114%
Upmc Commercial	$112	126%
Ambetter / Centene	$117	132%
Naphcare	$129 - $153	145%
Blue Cross Blue Shield	$141	159%
Geisinger Health Plan	$328	369%

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 $103.
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 Thomas Jefferson University 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.