CMS Price Transparency Data

X-ray, hip

Facility: Cook Childrens Medical Center Prosper

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $351
Cash Discount Price: $538
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Cook Childrens Medical Center Prosper is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $538. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.95x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$538

Average discount available for prompt cash payment at this facility.

Insurance Median

$351

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: $538 (605%)

Insurance Median: $351 (395%)

Cash: $538 (605% of Medicare)

Ins. Median: $351 (395% 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 395% of the Medicare baseline (a markup of 295%). 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	$43 - $700	48%
Beacon	$109 - $445	123%
El Paso Health First	$109 - $445	123%
Health Plan W. Uhrip	$109	123%
Health Plan W/O Uhrip	$109 - $445	123%
Tx Children Health	$109 - $445	123%
Wellpoint	$115	129%
Blue Cross Blue Shield	$118 - $741	133%
Superior Health	$118	133%
Firstcare	$120 - $659	135%
United Community	$120 - $305	135%
UnitedHealthcare	$269 - $700	303%
S&W Health	$514 - $692	578%
Cigna	$520 - $700	585%
Healthscope	$520 - $700	585%
Imagine Health	$520 - $700	585%
Humana	$533 - $725	599%
Multiplan	$533 - $716	599%
First Health	$539 - $725	606%
Galaxy Health	$551 - $741	620%
Healthsmart	$551 - $741	620%
Usamco	$563 - $758	633%

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 $538.
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 Cook Childrens Medical Center Prosper 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.