CMS Price Transparency Data

X-ray, hip

Facility: Methodist Southlake Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $144
  • Cash Discount Price: $418
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Methodist Southlake Medical Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $418. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.62x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$418

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $418 (470%)
Insurance Median: $144 (162%)
Cash: $418 (470% of Medicare)
Ins. Median: $144 (162% 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.

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
UnitedHealthcare $45 - $453 51%
Champva [1000] $84 94%
Tricare $84 94%
Triwest Wps [8010] $84 94%
Veterans Administration [9001] $84 94%
Aetna $88 - $468 99%
Blue Cross Blue Shield $88 - $256 99%
Medicare (plans) $88 - $94 99%
Ust Health Proof [1005] $88 99%
Wellcare [7016] $88 99%
American Health Advantage Of Texas [7099] $92 103%
Cigna $92 - $162 103%
Globalhealth [1003] $92 103%
Procare Advantage [7018] $92 103%
Humana $93 105%
Southwestern Health Resources Swhr [7015] $93 105%
Provider Partners Health Plan [7025] $95 107%
Alternative Service Concepts [8005] $109 123%
Oscar Insurance Company [2057] $114 128%
Bright Healthcare [2222] $123 138%
Molina [3017] $127 143%
Wellpoint Marketplace Exchange [3071] $136 153%
Kempton Group Administrators, Tower Extrusions [3061] $140 157%
90 Degree Benefit [3057] $144 162%
Allied National [2031] $144 162%
Entrust/90 Degree [2058] $144 162%
Friday Health Plan [2061] $149 168%
Ambetter / Centene $150 169%
Web Tpa [3049] $154 - $171 173%
Imperial Insurance Companies [3073] $158 178%
Medicaid / KanCare $168 - $204 189%
Department Of Labor [8004] $175 197%
Evry Health [1013] $175 197%
Generic Workers Comp Tx Non Par [9010] $175 197%
Generic Workers Comp Tx Par [8002] $175 197%
Generic Workers Comp Tx Par [9011] $175 197%
Sana Benefits [3069] $175 197%
Tristar Risk Management [8006] $175 197%
Velocity [3070] $175 197%
Health Plans Inc [5017] $219 246%
Medical Cost Containment Professionals [3059] $219 246%
Dart Member Care [3039] $236 265%
Healthscope Benefits [2052] $236 265%
Healthscope Benefits [3063] $236 265%
Bind Benefits Inc [1004] $453 510%
Definity Health [3006] $453 510%
Freedom Life Insurance Company [2029] $453 510%
Geha Federal [3066] $453 510%
Tml Intergovernmental Employee Benefits [3050] $453 510%
Scott & White Health Plan Trs [3062] $468 526%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals