CMS Price Transparency Data

X-ray, hip

Facility: HCA Houston Healthcare Southeast

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $261
  • Cash Discount Price: $628
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Houston Healthcare Southeast is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $628. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.94x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$628

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $628 (706%)
Insurance Median: $261 (294%)
Cash: $628 (706% of Medicare)
Ins. Median: $261 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
Superior Health Plan $38 43%
Community Health Choice Mcd $47 53%
Texas Health Network $47 53%
Amerigroup $48 54%
Texas Childrens Health Plans $48 - $111 54%
United $48 - $283 54%
Aetna $51 - $386 57%
Molina Healthcare $53 60%
Humana $60 - $527 67%
Cigna $132 - $503 148%
Blue Cross Blue Shield $140 - $311 157%
Texas Workforce Commission $151 170%
Healthcare Highways $160 180%
Evry Health $172 193%
Imagine Health $220 247%
Christus (Usfhp) $251 282%
Curative Administrators $251 282%
Healthsmart Preferred Care $270 - $534 304%
Averde Health $283 318%
Fidelis Securecare Of Tx $283 318%
Multiplan $314 - $566 353%
Coventry National First Health $335 377%
Physicians Cooperative Of Texas $346 389%
Rockport Workers Comp $346 389%
Beech Street $377 - $503 424%
Independent Medical System $377 424%
National Healthcare Solutions $377 424%
Prime Health Services $377 424%
Southwest Medical $377 424%
Coastal Comp $408 459%
Fiesta Mart, Inc $471 530%
Physicians, Inc $534 601%
Affiliated Ppo $566 637%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals