CMS Price Transparency Data

X-ray, hip

Facility: Huron Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $374
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 4.21x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Huron Regional Medical Center is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.21x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$374

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: $169 (190%)
Insurance Median: $374 (421%)
Cash: $169 (190% of Medicare)
Ins. Median: $374 (421% 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 421% of the Medicare baseline (a markup of 321%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Sanford $24 - $477 27%
UnitedHealthcare $24 - $369 27%
Midlands $26 29%
Medica $45 - $463 51%
Healthpartners $48 - $492 54%
Tlc Advantage $48 - $498 54%
Avera $81 - $379 91%
Wellmark $86 97%
Multiplan $462 520%
Americas $498 560%
First Choice Of The Midwest $498 560%
First Health Coventry $498 560%
Integrated Health Plan $498 560%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 172 Fourth Street Se, Huron, SD 57350
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals