CMS Price Transparency Data

X-ray, hip

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $273
Cash Discount Price: $273
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Marshfield Medical Center - Rice Lake is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.07x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$273

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: $273 (307%)

Insurance Median: $273 (307%)

Cash: $273 (307% of Medicare)

Ins. Median: $273 (307% 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 307% of the Medicare baseline (a markup of 207%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Family Health Center (Fhc)	$144	162%
Amish/Mennonite	$158	178%
Sanford Health Plan	$158	178%
Security Health Plan (Shp)	$190 - $262	214%
Group Health Cooperative Of Eau Claire	$235 - $276	264%
The Alliance	$235 - $1,866	264%
UnitedHealthcare	$236 - $484	265%
Molina Healthcare Of Wi	$244	274%
Blue Cross Blue Shield	$256 - $290	288%
Besse Forest Products	$273	307%
Cigna	$273	307%
Corvel	$273	307%
First Health	$273	307%
Health Partners	$273	307%
Healtheos By Multiplan Inc.	$273	307%
Rice Lake School District	$273	307%
Medica Of Wi	$274 - $280	308%
Trilogy	$274 - $276	308%
Coventry	$276	310%
Health Smart	$276	310%
Rising Medical Work Comp	$278	313%
Wps Health Insurance	$280	315%
Three Rivers Provider Network (Trpn)	$281	316%

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 $273.
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 Marshfield Medical Center - Rice Lake 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.