CMS Price Transparency Data

X-ray, hip

Facility: Prosser Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $23
Cash Discount Price: $145
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Prosser Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.26x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $145 (163%)

Insurance Median: $23 (26%)

Cash: $145 (163% of Medicare)

Ins. Median: $23 (26% 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
Community Health Plan Of Washington	$6 - $196	7%
Coordinated Care	$6 - $196	7%
Kaiser Permanente	$6 - $440	7%
Molina	$6 - $196	7%
UnitedHealthcare	$6 - $387	7%
Amerigroup	$7 - $208	8%
Aetna	$12 - $411	13%
Health Alliance Northwest	$12 - $121	13%
Humana	$12 - $411	13%
Wellcare	$12 - $121	13%
Cigna	$13 - $397	15%
Premera	$14 - $387	16%
Asuris	$16 - $436	18%
Health Management Adminstrators	$16 - $436	18%
Regence	$16 - $436	18%
Ambetter / Centene	$22 - $373	25%
Multiplan	$38 - $436	43%
First Choice	$411	462%

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 $145.
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 Prosser Memorial Hospital 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.