CMS Price Transparency Data

X-ray, hip

Facility: HCA Houston Healthcare Tomball

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $198
Cash Discount Price: $2,131
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Houston Healthcare Tomball is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,131. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.23x the Medicare baseline. Located in 605 Holderrieth, Tomball, TX.

Cash / Self-Pay

$2,131

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $2,131 (2397%)

Insurance Median: $198 (223%)

Cash: $2,131 (2397% of Medicare)

Ins. Median: $198 (223% 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 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Choice Mcd	$47	53%
Texas Childrens Healthplans	$48	54%
United	$48 - $959	54%
Aetna	$51 - $386	57%
Molina Healthcare	$53	60%
Humana	$60 - $527	67%
Superior Health Plan	$128	144%
Cigna	$132 - $170	148%
Blue Cross Blue Shield	$140 - $746	157%
Healthcare Highways	$543	611%
Evry Health	$582	655%
Coventry National First Health	$776	873%
Christus (Usfhp)	$852	958%
Curative Administrators	$852	958%

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 $2,131.
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 HCA Houston Healthcare Tomball 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.