CMS Price Transparency Data

X-ray, hip

Facility: Wellspan Surgery and Rehabilitation Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $334
Cash Discount Price: $345
vs. Medicare Baseline: 3.76x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Wellspan Surgery and Rehabilitation Hospital is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.76x the Medicare baseline. Located in 55 Monument Road, York, PA.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$334

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: $345 (388%)

Insurance Median: $334 (376%)

Cash: $345 (388% of Medicare)

Ins. Median: $334 (376% 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 376% of the Medicare baseline (a markup of 276%). 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
Medicaid / KanCare	$28 - $149	31%
Johns_Hopkins_Healthcare_Plan	$85 - $409	96%
Medicare (plans)	$85 - $103	96%
Aetna	$88 - $381	99%
Wellspan_Capital_Blue_Cross	$108	121%
Highmark	$130 - $425	146%
Blue_Cross	$242 - $386	272%
First_Health_Network	$359 - $381	404%
Cigna	$386 - $392	434%
Upmc	$401	451%
Geisinger	$404	454%
Phc	$409 - $418	460%
United_Healthcare	$498	560%

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 $345.
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 Wellspan Surgery and Rehabilitation 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.