CMS Price Transparency Data

X-ray, hip

Facility: Multicare Valley Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $180
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Multicare Valley Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.02x the Medicare baseline. Located in 12606 East Mission Avenue, Spokane Valley, WA.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $226 (254%)
Insurance Median: $180 (202%)
Cash: $226 (254% of Medicare)
Ins. Median: $180 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Coordinated Care $39 44%
Molina $39 - $181 44%
Wellpoint $39 44%
UnitedHealthcare $40 - $272 45%
Community Health Plan Of Washington $41 - $155 46%
Blue Cross Blue Shield $92 103%
Aetna $95 - $329 107%
Regence $95 107%
Wellcare $97 109%
Pacificsource $152 - $180 171%
Premera $154 - $240 173%
Ambetter / Centene $170 191%
Cigna $199 224%
Regence/Asuris $200 225%
First Choice $217 - $394 244%
Kaiser $302 340%
First Health $408 459%
Multiplan/Phcs $408 459%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12606 East Mission Avenue, Spokane Valley, WA 99216
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals