X-ray, hip
Facility: Salina Regional Health Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $189
- Cash Discount Price: $290
- vs. Medicare Baseline: 2.13x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 213% of the Medicare baseline (a markup of 113%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $125 - $373 | 141% |
| Preferred Healthcare - All Other Plans | $168 - $503 | 189% |
| Blue Cross Blue Shield | $181 - $191 | 204% |
| Cigna | $187 - $559 | 210% |
| Aetna | $187 - $559 | 210% |
| Multiplan (Mpi)-All Plans | $187 - $559 | 210% |
| Providers Care (Wppa)-All Plans | $187 - $559 | 210% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Salina Regional Health Center in Salina, KS, the cash median price is $290.00, which is significantly lower than the facility's negotiated rates. While commercial payers like Preferred Phsic and Blue Cross Blue Shield have negotiated ranges starting as low as $125, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. The facility's cash rate is also notably lower than the state average for this service, offering a clear financial advantage for those who can pay upfront. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer additional reductions for immediate payment that are not reflected in standard insurance estimates.
It is important to distinguish between the facility's gross charge of $414.00 and the actual amounts paid under different payment methods. The Medicare benchmark for this code is $88.91, serving as the objective baseline for fair pricing; commercial negotiated rates typically range from 200% to 300% of this amount, though the facility's median negotiated payment of $187.00 falls within a more reasonable 210% of the Medicare rate. Patients should avoid relying on summary bills that obscure individual line items, as an itemized audit can reveal errors or unbundled charges that may be disputed. Furthermore, while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients must verify their specific plan details and deductible status to ensure they are not inadvertently paying the full negotiated rate