CMS Price Transparency Data

X-ray, hip

Facility: American Fork Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $466
  • Cash Discount Price: $825
  • vs. Medicare Baseline: 5.24x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at American Fork Hospital is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.24x the Medicare baseline. Located in 170 North 1100 East, American Fork, UT.
Cash / Self-Pay
$825

Average discount available for prompt cash payment at this facility.

Insurance Median
$466

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: $825 (928%)
Insurance Median: $466 (524%)
Cash: $825 (928% of Medicare)
Ins. Median: $466 (524% 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 524% of the Medicare baseline (a markup of 424%). 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 $11 - $935 12%
American Health $11 - $91 12%
Blue Cross Blue Shield $11 - $836 12%
Health Partners Of Nevada $11 - $88 12%
Health Plan Of Nevada $11 - $72 12%
Healthy U $11 - $72 12%
Humana $11 - $92 12%
Molina $11 - $97 12%
Selecthealth $11 - $556 12%
UnitedHealthcare $11 - $935 12%
Donor Connect $20 - $266 22%
Triwest $84 94%
Intermountain Caregiver Plan $126 - $530 142%
Awh Connected $275 - $709 309%
Byu Athletics $275 - $792 309%
Campbell Scientific $275 - $792 309%
Deseret Mutual $275 - $632 309%
Emi $275 - $594 309%
Emi Health $275 - $763 309%
Franklin County $275 - $792 309%
Ifit $275 - $792 309%
Juniper Systems $275 - $792 309%
Lw Miller $275 - $792 309%
Pehp $275 - $979 309%
Tanner Llc $275 - $792 309%
Utah Tech $275 - $792 309%
Cigna $693 - $935 779%
Byu Risk Management $770 - $803 866%
Corporation Of The President $770 - $803 866%
Wcf Insurance $770 - $803 866%
Corvel Corporation $792 891%
Injury Care Of Nevada $825 928%
Managed Care Admin $858 965%
Prodegi Corp Benefit $902 1015%
Uofu $902 1015%
Springtide $913 1027%
Global Excel $935 1052%
Medcare International $935 1052%
Motivhealth $935 1052%
Wise Network $935 1052%
Hygeia Corporation $990 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 170 North 1100 East, American Fork, UT 84003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals