CMS Price Transparency Data

X-ray, hip

Facility: Memorial Hospital of Carbon County

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $144
Cash Discount Price: $152
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Memorial Hospital of Carbon County is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.62x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $152 (171%)

Insurance Median: $144 (162%)

Cash: $152 (171% of Medicare)

Ins. Median: $144 (162% 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.

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
Three_River_Providers_Network	$95 - $208	107%
Wise_Provider_Networks	$95 - $208	107%
Zelis	$95 - $208	107%
Corechoice	$114 - $249	128%
First_Choice_Health	$114 - $249	128%
Blue Cross Blue Shield	$117 - $255	132%
Cigna	$118 - $258	133%
UnitedHealthcare	$122 - $266	137%
Interwests_Ppo_Network	$123 - $269	138%
Multiplan	$123 - $269	138%
Medicare (plans)	$144	162%
Vaccn	$144	162%
Medicaid / KanCare	$277	312%

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 $152.
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 Memorial Hospital of Carbon County 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.