CMS Price Transparency Data

X-ray, hip

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $89
Cash Discount Price: $772
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Univ. of Vermont - Fletcher Allen Health Care is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $772 (868%)

Insurance Median: $89 (100%)

Cash: $772 (868% of Medicare)

Ins. Median: $89 (100% 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.

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
UnitedHealthcare	$7 - $760	8%
Mvp	$9 - $726	10%
Aetna	$10 - $89	11%
Blue Cross Blue Shield	$10 - $747	11%
Capital District Physicians' Health Plan	$10 - $578	11%
Humana	$10 - $216	11%
Martins Point	$10 - $91	11%
St. Regis	$10 - $89	11%
Veterans Affairs Community Care Network	$10 - $89	11%
Fidelis Care	$12 - $98	13%
Wellpath	$14 - $425	16%
Ebpa	$38 - $664	43%
Harvard Pilgrim	$39 - $618	44%
Magnacare	$39 - $618	44%
Coventry	$42 - $656	47%
Nppn	$44 - $695	49%
Cigna	$45 - $695	51%

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 $772.
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 Univ. of Vermont - Fletcher Allen Health Care 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.