X-ray, hip
Facility: Lindsborg Community Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $198
- Cash Discount Price: $290
- vs. Medicare Baseline: 2.23x 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 223% of the Medicare baseline (a markup of 123%). 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 |
|---|---|---|
| Tricare | $98 - $292 | 110% |
| Coventry Mcr Adv | $99 - $295 | 111% |
| Blue Cross Blue Shield | $172 | 193% |
| Cigna | $177 - $528 | 199% |
| UnitedHealthcare | $187 - $559 | 210% |
| Coventry Comm-All Other Plans | $187 - $559 | 210% |
| Phcs Preferred-All Plans | $193 - $577 | 217% |
| Multiplan-All Plans | $193 - $577 | 217% |
| Wppa-All Plans | $198 - $590 | 223% |
| Health Partners -All Plans | $198 - $590 | 223% |
| Coventry Wc | $198 - $590 | 223% |
| Century Health-All Plans | $198 - $590 | 223% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash median rate of $290.00 is notably higher than the state average of $228.00. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, commercial insurance contracts often result in higher out-of-pocket costs for patients. For instance, the median negotiated rate across payers is $198.00, yet many commercial plans, such as Cigna and UnitedHealthcare, have negotiated rates ranging from $187 to $559, which can exceed the cash price. This occurs because commercial contracts include administrative overhead and risk premiums that inflate the baseline price, whereas cash rates reflect the direct cost of service without these layers.
When evaluating value, it is important to compare these rates against the Medicare benchmark of $88.91, which serves as the federal cost baseline for this procedure. Commercial negotiated rates frequently average 200% to 300% of the Medicare rate, while fair pricing is typically defined as 120% to 150% of this benchmark. Patients with high-deductible plans may find that paying the cash price of $290.00 upfront is more economical than relying on insurance, especially if their plan's negotiated rate exceeds the cash amount or if they have not yet met their deductible. To maximize savings, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after the