CMS Price Transparency Data

X-ray, hip

Facility: PAM Specialty Hospital of San Antonio Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $690
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 7.76x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at PAM Specialty Hospital of San Antonio Medical Center is $690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.76x the Medicare baseline. Located in 8902 Floyd Curl Dr, San Antonio, TX.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$690

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: $920 (1035%)
Insurance Median: $690 (776%)
Cash: $920 (1035% of Medicare)
Ins. Median: $690 (776% 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 776% of the Medicare baseline (a markup of 676%). 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
Aetna $30 34%
America'S Choice $644 724%
Provider Network Of America $690 776%
Quik Trip $690 776%
Usa Mco $690 776%
Velocity Provider Ppo Network $690 776%
Evolutions Healthcare System $736 828%
Multiplan/Phcs $736 828%
Fortified Provider Network $782 880%
Prime Health Services $782 880%
Medincrease $828 931%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8902 Floyd Curl Dr, San Antonio, TX 78240
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL