CMS Price Transparency Data

X-ray, hip

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $347
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Rehabilitation Hospital of Wisconsin is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.90x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

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: $365 (411%)
Insurance Median: $347 (390%)
Cash: $365 (411% of Medicare)
Ins. Median: $347 (390% 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 390% of the Medicare baseline (a markup of 290%). 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
Alliance Ppo $239 - $265 269%
Dean Ppo Hmo/Pos $239 - $265 269%
Medica (Under Dean) $239 - $265 269%
UnitedHealthcare $243 - $384 273%
Trilogy Ppo $249 - $384 280%
Wps "Insurance" Ppo $253 - $280 285%
Phcs Savility $260 - $288 292%
Hps Solutions Ppo $263 - $292 296%
Aetna $270 - $384 304%
Health Eos Poc $277 - $307 312%
Coventry/First Health Ppo $284 - $315 319%
Hps (Other) $284 - $315 319%
Health Eos Multiplan $295 - $326 332%
Phcs / Multiplan $319 - $353 359%
All Savers $346 - $384 389%
Blue Cross Blue Shield $346 - $384 389%
Centivo Broad $346 - $384 389%
Centivo Intermediate/Median $346 - $384 389%
Centivo Narrow/Value $346 - $384 389%
Children'S Communty Health Plan(Cchp) $346 - $384 389%
Cigna $346 - $384 389%
Community Care, Inc $346 - $384 389%
Humana $346 - $384 389%
Icare Mcd $346 - $384 389%
Managed Health Services (Mhs) $346 - $384 389%
Medicaid / KanCare $346 - $384 389%
Medicare (plans) $346 - $384 389%
Molina (Fka Care Wisconsin) $346 - $384 389%
Network Health - Aca $346 - $384 389%
Network Health - Commercial $346 - $384 389%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $346 - $384 389%
Security Health Plan - Advocare $346 - $384 389%
Together With Cchp $346 - $384 389%
Unity Health Plan And Unity Quartz(Hmo/Pos) $346 - $384 389%
Va - Primary Only - Authorization Required $346 - $384 389%
Wellcare Mcr $346 - $384 389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL