X-ray, hip
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $81
- Cash Discount Price: $144
- vs. Medicare Baseline: 0.91x 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.
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 |
|---|---|---|
| UnitedHealthcare | $9 - $228 | 10% |
| Medicaid / KanCare | $9 - $77 | 10% |
| Aetna | $9 - $77 | 10% |
| Providrs Care | $14 - $59 | 16% |
| Va | $81 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Humana | $81 - $82 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $188 - $198 | 211% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Ascension Via Christi Hospital Manhattan, Inc., the cash median price is $144.00, which is significantly lower than the facility's gross charge of $361.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Medicaid/KanCare range from $9 to $228, patients with high-deductible plans may find paying cash directly more cost-effective, as the cash price is often lower than the insurance negotiated rate. It is important to note that commercial rates can sometimes exceed the Medicare benchmark of $88.91 due to administrative costs and contract dynamics, making the cash option a potential savings strategy if the patient's insurance allowed amount is higher than $144.00.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing insurance claim processing fees. Although the facility is in-network for many plans, patients must be aware that balance billing could occur if ancillary services are out-of-network, though the No Surprises Act protects against surprise bills for emergency care at in-network facilities. Consumers are encouraged to obtain a full itemized bill before paying to verify that all charges are accurate and to dispute any errors, as over 80% of hospital bills contain mistakes that can be corrected through formal written audits.