CMS Price Transparency Data

X-ray, hip

Facility: Marshfield Medical Center - Weston

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $378
Cash Discount Price: $399
vs. Medicare Baseline: 4.25x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Marshfield Medical Center - Weston is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.25x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $399 (449%)

Insurance Median: $378 (425%)

Cash: $399 (449% of Medicare)

Ins. Median: $378 (425% 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 425% of the Medicare baseline (a markup of 325%). 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
Security Health Plan (Shp)	$190 - $262	214%
Family Health Center (Fhc)	$210	236%
Amish/Mennonite	$231	260%
Sanford Health Plan	$231	260%
The Alliance	$235 - $1,866	264%
Blue Cross Blue Shield	$256 - $290	288%
Group Health Cooperative Of Eau Claire	$344 - $378	387%
UnitedHealthcare	$347	390%
Besse Forest Products	$357	402%
Molina Healthcare Of Wi	$357	402%
Rice Lake School District	$357	402%
Wps Health Insurance	$372 - $405	418%
Medica Of Wi	$391 - $400	440%
Cigna	$395	444%
Healtheos By Multiplan Inc.	$395 - $399	444%
Corvel	$399	449%
First Health	$399	449%
Health Partners	$399	449%
Three Rivers Provider Network (Trpn)	$399	449%
Trilogy	$401 - $403	451%
Coventry	$403	453%
Health Smart	$403	453%
Rising Medical Work Comp	$407	458%

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 $399.
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 - Weston 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.