CMS Price Transparency Data

X-ray, hip

Facility: Childrens Medical Ctr of Dallas

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $379
Cash Discount Price: $406
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Childrens Medical Ctr of Dallas is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.26x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$406

Average discount available for prompt cash payment at this facility.

Insurance Median

$379

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: $406 (457%)

Insurance Median: $379 (426%)

Cash: $406 (457% of Medicare)

Ins. Median: $379 (426% 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 426% of the Medicare baseline (a markup of 326%). 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
Aetna	$39 - $379	44%
Humana	$39 - $406	44%
Medicaid / KanCare	$39	44%
Oklahoma Complete Health	$39	44%
Superior Health Plan	$50	56%
Firstcare Health	$130	146%
Molina Healthcare	$173	195%
Parkland Community	$179	201%
Texas Children'S Health Plan	$179	201%
Wellpoint	$179	201%
Cookchildren'S Health Plan	$184	207%
Carelon	$200 - $265	225%
Blue Cross Blue Shield	$216 - $368	243%
UnitedHealthcare	$287 - $406	323%
Methodist	$308	346%
Cigna	$357 - $373	402%
Employers Health Network	$379	426%
Imagine Health	$379	426%
Scott & White	$384	432%
Txp Emerging Therapy Solutions	$384	432%
Healthsmart	$395 - $460	444%
Healthscope Benefit Solutions	$406	457%
Phcs	$406	457%
Quiktrip (Qt)	$406	457%
Txp Interlink	$406	457%
Coventry Health	$433	487%
Equifax Healthcare	$460	517%
Multiplan	$460	517%
Usa Managed Care	$503	566%
Galaxy Health	$525	590%

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 $406.
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 Childrens Medical Ctr of Dallas 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.