CMS Price Transparency Data

X-ray, hip

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $380
Cash Discount Price: $398
vs. Medicare Baseline: 4.27x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Texas Childrens Hospital North Austin Campus is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $398. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.27x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$398

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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: $398 (448%)

Insurance Median: $380 (427%)

Cash: $398 (448% of Medicare)

Ins. Median: $380 (427% 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 427% of the Medicare baseline (a markup of 327%). 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
Superior Chip	$48 - $50	54%
Driscoll Children'S Health Plan Mcd	$53	60%
First Care Health Plan	$160 - $380	180%
UnitedHealthcare	$160 - $380	180%
Molina Mcd	$178	200%
Blue Cross Blue Shield	$208 - $374	234%
Community Health Choice	$210 - $380	236%
Community First Health Plan Mcd	$238	268%
Cook Children'S Health Plan	$238	268%
Cigna	$339 - $380	381%
Aetna	$380	427%
Kelseycare	$386	434%
Healthsmart	$416	468%
Evolutions Healthcare	$446	502%
First Health	$523 - $564	588%
Multiplan	$535	602%
Galaxy Health Network	$564	634%

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 $398.
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 Texas Childrens Hospital North Austin Campus 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.