CMS Price Transparency Data

X-ray, hip

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $390
  • Cash Discount Price: $550
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at University of Wi Hospitals & Clinics Authority is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.39x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$550

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

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: $550 (619%)
Insurance Median: $390 (439%)
Cash: $550 (619% of Medicare)
Ins. Median: $390 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Aetna $89 - $980 100%
Blue Cross Blue Shield $89 - $1,161 100%
Humana $89 - $133 100%
Medicare (plans) $89 - $136 100%
UnitedHealthcare $89 - $765 100%
Alliance_Premier_Network $292 - $584 328%
Mercycare $303 - $606 341%
Triology $312 - $745 351%
Security_Health_Plan $330 - $776 371%
Employer'S_Coalition_On_Health $336 - $941 378%
Alliance $344 - $687 387%
Hfn $348 - $941 391%
United_Healthcare $350 - $1,037 394%
Beloit_Health_System $354 - $709 398%
Aspirus_Health_Plan $357 - $714 402%
Cigna $367 - $733 413%
Health_Partners_Insurance $373 - $745 420%
Health_Payment_Systems $374 - $749 421%
Dean_Health_Plan $391 - $782 440%
Medical_Associates $403 - $807 453%
Wps $423 - $932 476%
Employers_Healthcare_Coalition_Of_Wi $428 - $855 481%
Aspirus_Network_Inc $470 - $941 529%
Chorus_Community $489 - $978 550%
Ghc_Eau_Claire_Health_Plan $489 - $978 550%
Multiplan $489 - $1,124 550%
Sheybogan_Employers_Health_Network $489 - $978 550%
Coventry $519 - $1,039 584%
Dean_Care $519 - $1,039 584%
Healthsmart $538 - $1,075 605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals