CMS Price Transparency Data

X-ray, hip

Facility: UPMC Muncy

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $719
Cash Discount Price: $653
vs. Medicare Baseline: 8.09x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at UPMC Muncy is $719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $653. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.09x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$653

Average discount available for prompt cash payment at this facility.

Insurance Median

$719

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: $653 (734%)

Insurance Median: $719 (809%)

Cash: $653 (734% of Medicare)

Ins. Median: $719 (809% 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 809% of the Medicare baseline (a markup of 709%). 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
UnitedHealthcare	$29 - $745	33%
Upmc Work Partners	$52	58%
Three Rivers Provider Network	$56 - $980	63%
Highmark Wholecare (Prev Gateway)	$163	183%
Upmc Health Plan	$163 - $475	183%
Amerihealth Caritas	$168 - $2,208	189%
Cigna	$172 - $746	193%
Pa Health & Wellness	$176 - $2,316	198%
Blue Cross Blue Shield	$427 - $503	480%
Aetna	$442 - $719	497%
Coventry/First Health	$546 - $733	614%
Wirerope Works	$605	680%
Geisinger	$730	821%
Multiplan	$849 - $1,035	955%
America'S Choice	$871	980%
Intergroup	$871	980%

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 $653.
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 UPMC Muncy 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.