CMS Price Transparency Data

X-ray, hip

Facility: Surgical Institute of Reading

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $226
Cash Discount Price: $126
vs. Medicare Baseline: 2.54x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Surgical Institute of Reading is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.54x the Medicare baseline. Located in 2752 Century Boulevard, Wyomissing, PA.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$226

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: $126 (142%)

Insurance Median: $226 (254%)

Cash: $126 (142% of Medicare)

Ins. Median: $226 (254% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Unison	$22 - $87	25%
Blue Cross Blue Shield	$28	31%
Highmark	$28	31%
United	$81	91%
Aetna	$87 - $374	98%
Bhp	$87 - $167	98%
Geisinger Health Plan	$87 - $130	98%
Devon	$226 - $271	254%
First Health	$256 - $307	288%
Tricare	$264 - $316	297%
Cigna	$17,644 - $21,107	19845%

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 $126.
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 Surgical Institute of Reading 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.