CMS Price Transparency Data

X-ray, hip

Facility: Tristar Southern Hills Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $126
Cash Discount Price: $404
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Tristar Southern Hills Medical Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.42x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $404 (454%)

Insurance Median: $126 (142%)

Cash: $404 (454% of Medicare)

Ins. Median: $126 (142% 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 - $175	47%
Aetna	$62 - $202	70%
Kentucky Labor Cabinet	$74	83%
Apex Health	$77	87%
Nhc Advantage, Inc.	$77	87%
Pruitt Health (Allyalign)	$77	87%
United	$84 - $182	94%
Cigna	$118 - $134	133%
Centurion	$167	188%
Bgfh Singlesource	$202 - $344	227%
Multiplan	$234	263%
Employers Health Network	$283	318%
Odom'S Tn Pride Sausage	$303	341%
Beech Street	$356	400%
Prime Health	$356	400%

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 $404.
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 Southern Hills 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.