CMS Price Transparency Data

X-ray, hip

Facility: Tristar Skyline Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $175
Cash Discount Price: $1,356
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Tristar Skyline Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.97x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$1,356

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $1,356 (1525%)

Insurance Median: $175 (197%)

Cash: $1,356 (1525% of Medicare)

Ins. Median: $175 (197% 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.

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 Cross Blue Shield	$26 - $58	29%
Humana	$42 - $881	47%
Aetna	$62 - $678	70%
United	$84 - $610	94%
Cigna	$118 - $442	133%
Kentucky Labor Cabinet	$250	281%
Nhc Advantage, Inc.	$258	290%
Pruitt Health (Allyalign)	$258	290%
Centurion	$559	629%
Bgfh Singlesource	$678 - $1,152	763%
Employers Health Network	$949	1067%
Mhnet	$1,017	1144%
Odom'S Tn Pride Sausage	$1,017	1144%
Multiplan	$1,112	1251%
Beech Street	$1,193	1342%
Prime Health	$1,193	1342%
Triwest Healthcare	$1,329	1495%

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 $1,356.
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 Tristar Skyline 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.