CMS Price Transparency Data

X-ray, hip

Facility: Pullman Regional Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $43
Cash Discount Price: $89
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Pullman Regional Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $89 (100%)

Insurance Median: $43 (48%)

Cash: $89 (100% of Medicare)

Ins. Median: $43 (48% 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 Care Ntwrk Mcare-All Plans	$11 - $40	12%
Kaiser Mcare Advan	$11 - $40	12%
Sterling Mcr Adv-All Plans	$11 - $40	12%
Triwest - All Plans	$11 - $40	12%
Aetna	$12 - $107	13%
Wellcare Mcr Adv	$12 - $43	13%
Blue Cross Blue Shield	$13 - $107	15%
Humana	$13 - $40	15%
Premera First - All Plans	$14 - $82	16%
First Choice - All Other Plans	$18 - $102	20%
First Choice Admin	$18 - $93	20%
Kaiser - All Other Plans	$21 - $145	24%
Community Health Plan Mcaid-All Plans	$29 - $41	33%
Medicaid / KanCare	$29 - $41	33%
Molina Hlthcare Mcaid-All Plans	$29 - $41	33%
Wellcare Mcaid -All Other Plans	$29 - $41	33%
Wellpoint Mcaid - All Plans	$29 - $41	33%
Idaho Dshs-All Plans	$39 - $46	44%
Admin Wsu Student-All Plans	$82 - $96	92%
Multiplan - All Plans	$82 - $96	92%
Single Case Agree - All Plans	$82	92%
Asuris Nw Hlth-All Plans	$86 - $102	97%
Cigna	$86 - $102	97%
Focus Hlthcare - All Plans	$86 - $102	97%
Northwest One - All Plans	$86 - $102	97%
UnitedHealthcare	$86 - $102	97%
Great West Hlth-All Plans	$91 - $107	102%
Integrated Hp - All Plans	$91 - $107	102%
Spokane Phco - All Plans	$91 - $107	102%
Provider Network Of America-All Plans	$94 - $111	106%

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 $89.
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 Pullman Regional 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.