X-ray, hip
Facility: Regional Medical Center
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $870
- Cash Discount Price: $269
- vs. Medicare Baseline: 9.79x 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 979% of the Medicare baseline (a markup of 879%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 979% |
Consumer Guidance & Cost Commentary
For the X-ray, hip procedure (CPT 73502) at Regional Medical Center in Manchester, IA, the cash median price is $269. This facility, a Critical Access Hospital with a government-local ownership structure, lists a gross charge of $336. While the facility's negotiated rate with Medical Associates Health Plan - Tri is set at $870, which is significantly higher than the cash price, patients should be aware that paying out-of-pocket can sometimes result in lower out-of-pocket costs if their insurance deductible has not been met or if the negotiated rate exceeds their personal financial situation.
The cash price of $269 is notably lower than the state average for this procedure, providing a clear opportunity for cost savings. Since the Medicare benchmarking rate for this service is $88.91, the cash price of $269 represents a reasonable market rate that is well below the commercial negotiated ceiling of $870. Patients are encouraged to explicitly request "self-pay" or "prompt-pay" discounts from the facility before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative costs associated with insurance claims processing.