CMS Price Transparency Data

X-ray, hip

Facility: HCA Houston Healthcare Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $269
  • Cash Discount Price: $2,040
  • vs. Medicare Baseline: 3.03x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Houston Healthcare Medical Center is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,040. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.03x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$2,040

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $2,040 (2294%)
Insurance Median: $269 (303%)
Cash: $2,040 (2294% of Medicare)
Ins. Median: $269 (303% 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 303% of the Medicare baseline (a markup of 203%). 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 $43 - $132 48%
Community Health Choice Mcd $47 53%
United $48 - $991 54%
Aetna $51 - $386 57%
Molina Healthcare $53 60%
Humana $60 - $527 67%
Cigna $132 - $170 148%
Blue Cross Blue Shield $140 - $771 157%
Healthcare Highways $184 - $562 207%
Evry Health $197 - $602 222%
Christus (Usfhp) $289 - $881 325%
Curative Administrators $289 - $881 325%
Coventry National First Health $385 - $1,174 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals