CMS Price Transparency Data

X-ray, hip

Facility: HCA Houston Healthcare West

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $304
  • Cash Discount Price: $4,665
  • vs. Medicare Baseline: 3.42x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Houston Healthcare West is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,665. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.42x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$4,665

Average discount available for prompt cash payment at this facility.

Insurance Median
$304

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: $4,665 (5247%)
Insurance Median: $304 (342%)
Cash: $4,665 (5247% of Medicare)
Ins. Median: $304 (342% 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 342% of the Medicare baseline (a markup of 242%). 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
Community Health Choice Mcd $47 53%
Texas Health Network $47 53%
Amerigroup $48 54%
Texas Childrens Health Plans $48 - $774 54%
United $48 - $2,099 54%
Aetna $51 - $386 57%
Molina Healthcare $53 60%
Humana $60 - $527 67%
Cigna $132 - $3,732 148%
Blue Cross Blue Shield $140 - $1,633 157%
Superior Health Plan $280 315%
Texas Workforce Commission $1,120 1260%
Healthcare Highways $1,190 1338%
Evry Health $1,274 1433%
Imagine Health $1,633 1837%
Christus (Usfhp) $1,866 2099%
Curative Administrators $1,866 2099%
Healthsmart Preferred Care $2,006 - $3,965 2256%
Averde Health $2,099 2361%
Fidelis Securecare Of Tx $2,099 2361%
Coventry National First Health $2,486 2796%
Physicians Cooperative Of Texas $2,566 2886%
Rockport Workers Comp $2,566 2886%
Independent Medical System $2,799 3148%
National Healthcare Solutions $2,799 3148%
Southwest Medical $2,799 3148%
Triumph $2,799 3148%
Coastal Comp $3,032 3410%
Multiplan $3,499 - $3,965 3935%
Physicians, Inc $3,965 4460%
Affiliated Ppo $4,198 4722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals