CMS Price Transparency Data

X-ray, hip

Facility: Colleton Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $303
Cash Discount Price: $1,105
vs. Medicare Baseline: 3.41x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Colleton Medical Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,105. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.41x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$303

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: $1,105 (1243%)

Insurance Median: $303 (341%)

Cash: $1,105 (1243% of Medicare)

Ins. Median: $303 (341% 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 341% of the Medicare baseline (a markup of 241%). 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
Blue Choice	$41	46%
United	$41 - $609	46%
Select Health	$63	71%
Sc State Employees	$107 - $122	120%
Blue Choice Health Plan	$146 - $153	164%
Blue Cross Blue Shield	$146 - $1,090	164%
Absolute Total Care	$152 - $206	171%
Nhc Advantage	$218	245%
Pruitt Health	$218	245%
Employers Health Network	$516	580%
Value Option	$574	646%
Vocational Rehab	$619	696%
Medcost	$647 - $837	728%
Aetna	$664	747%
Cigna	$741	833%
Humana	$746 - $1,032	839%
Mhnet	$860	967%
Evernorth	$918	1033%
Multiplan	$975	1097%
North American Administrators	$975	1097%
Prime Health	$975	1097%
First Health	$1,032	1161%
Novanet	$1,032	1161%

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 $1,105.
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 Colleton Medical Center 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.