CMS Price Transparency Data

X-ray, hip

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $326
Cash Discount Price: $333
vs. Medicare Baseline: 3.67x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Marshfield Medical Center - Eau Claire is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $333. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.67x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$333

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $333 (375%)

Insurance Median: $326 (367%)

Cash: $333 (375% of Medicare)

Ins. Median: $326 (367% 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 367% of the Medicare baseline (a markup of 267%). 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)	$175	197%
Security Health Plan (Shp)	$190 - $262	214%
Amish/Mennonite	$192	216%
Sanford Health Plan	$192	216%
The Alliance	$235 - $1,866	264%
Blue Cross Blue Shield	$256 - $290	288%
Group Health Cooperative Of Eau Claire	$287 - $315	323%
UnitedHealthcare	$288 - $484	324%
Besse Forest Products	$298	335%
Molina Healthcare Of Wi	$298	335%
Rice Lake School District	$298	335%
Wps Health Insurance	$310 - $338	349%
Medica Of Wi	$326 - $333	367%
Cigna	$332	373%
Corvel	$332	373%
First Health	$332	373%
Health Partners	$332	373%
Healtheos By Multiplan Inc.	$332	373%
Three Rivers Provider Network (Trpn)	$332	373%
Trilogy	$334 - $336	376%
Coventry	$336	378%
Health Smart	$336	378%
Rising Medical Work Comp	$340	382%

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 $333.
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 - Eau Claire 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.