CMS Price Transparency Data

X-ray, hip

Facility: Tristar Northcrest Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $133
Cash Discount Price: $981
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Tristar Northcrest Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $981. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.

Cash / Self-Pay

$981

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $981 (1103%)

Insurance Median: $133 (150%)

Cash: $981 (1103% of Medicare)

Ins. Median: $133 (150% 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	29%
Molina	$27 - $110	30%
Humana	$42 - $175	47%
Aetna	$62 - $785	70%
Nhc Advantage, Inc.	$75 - $298	84%
United	$84 - $707	94%
Cigna	$115 - $460	129%
City Of Springfield	$255 - $1,021	287%
Multiplan	$306 - $1,288	344%

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 $981.
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 Northcrest 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.