CMS Price Transparency Data

X-ray, hip

Facility: Childrens Hospital of Wisconsin

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $280
Cash Discount Price: $182
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Childrens Hospital of Wisconsin is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.15x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$182

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $182 (205%)

Insurance Median: $280 (315%)

Cash: $182 (205% of Medicare)

Ins. Median: $280 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Froedtert Health	$232 - $281	261%
Medical College Of Wisconsin	$232	261%
Network Health Plan	$236	265%
UnitedHealthcare	$243 - $252	273%
Aspirus Health Plan	$248	279%
Common Ground Healthcare Cooperative	$248 - $281	279%
Trilogy Health Solutions	$248 - $281	279%
Wps Health Plan	$252 - $298	283%
Advocate Aurora Healthcare	$255	287%
Blue Cross Blue Shield	$258 - $314	290%
Centivo	$258	290%
Health Partners	$258 - $291	290%
Employer Health Care Alliance Cooperative	$260	292%
Dean Health Plan	$265	298%
Group Health Cooperative Of Eau Claire	$265	298%
Oan Llc	$265	298%
Security Health Plan	$275	309%
Health Payment Systems	$280	315%
Praire States	$281	316%
Quartz Health Insurance	$281	316%
Sheboygan Employer'S Health Network	$281	316%
Mayo Clinic Health Solutions	$288	324%
Aetna	$291 - $295	327%
Bellin Thedacare	$298	335%
Cigna	$298	335%
Group Health Cooperative Of South Central Wisconsin	$298	335%
Prevea Health Network	$298	335%
Multiplan	$301 - $314	339%
Coventry Health Care	$314	353%

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 $182.
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 Childrens Hospital of Wisconsin 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.