X-ray, hip
Facility: Mercy St Francis Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $330
- Cash Discount Price: $239
- vs. Medicare Baseline: 3.71x 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 371% of the Medicare baseline (a markup of 271%). 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 |
|---|---|---|
| Medicaid / KanCare | $49 - $190 | 55% |
| Medicare (plans) | $82 - $131 | 92% |
| Blue Cross Blue Shield | $83 - $356 | 93% |
| Globalhealth Contracted [320145] | $101 - $126 | 114% |
| Cigna | $101 - $349 | 114% |
| Dept of Veteran Affairs Contracted [320106] | $101 - $126 | 114% |
| Indian Health Service Contracted [320198] | $101 - $126 | 114% |
| Acentra Health Contracted [320527] | $101 | 114% |
| Halo Hcr Inc Hospice Contracted [320432] | $101 - $126 | 114% |
| Mercy Hospice Okc [20252] | $101 - $126 | 114% |
| UnitedHealthcare | $101 - $349 | 114% |
| Mercy Mgd Behavioral Health Contracted [320259] | $101 - $126 | 114% |
| Cherokee Nation Health Serv Contracted [320066] | $101 - $126 | 114% |
| Cross Timbers Hospice [20098] | $101 - $126 | 114% |
| Elara Caring Aspire Hospice [20433] | $101 - $126 | 114% |
| Qual Choice Contracted [320325] | $101 - $126 | 114% |
| Halo Hcr Inc Hospice [20432] | $101 - $126 | 114% |
| Kindful Hospice [20434] | $101 - $126 | 114% |
| Kindful Hospice Contracted [320434] | $101 - $126 | 114% |
| Aetna | $101 - $327 | 114% |
| Provider Partners Health Plans Contracted [320450] | $101 - $126 | 114% |
| Medical Associates Health Contracted [320444] | $101 - $126 | 114% |
| Humana | $101 - $330 | 114% |
| Pace of the Ozarks Contracted [320518] | $101 - $126 | 114% |
| Tricare | $125 | 141% |
| Healthscope Contracted [320182] | $126 - $167 | 142% |
| Administrative Payor Contracted [320005] | $165 | 186% |
| Centivo Contracted [320505] | $166 - $213 | 187% |
| Novasys Contracted [320285] | $190 | 214% |
| Ambetter / Centene | $190 | 214% |
| Home State Health Plan Contracted [320187] | $190 | 214% |
| Preferred Health Plan Contracted [320522] | $239 | 269% |
| Healthlink Contracted [320179] | $239 - $349 | 269% |
| Workers Comp [20426] | $294 - $312 | 331% |
| Auxiant Contracted [320462] | $330 - $349 | 371% |
| Mercy Benefit Admin Contracted [320251] | $330 - $349 | 371% |
| Point C Contracted [320238] | $330 - $349 | 371% |
| United Medical Resources Contracted [320454] | $330 - $341 | 371% |
| Medica Contracted [320239] | $347 | 390% |
| Point C [20238] | $349 | 393% |
| Multiplan Contracted [320270] | $349 | 393% |
| Aither Health Contracted [320449] | $349 | 393% |
| Yuzu Health Contracted [320521] | $349 | 393% |
| Evolutions Health Care Contracted [320124] | $349 | 393% |
| Ebms Contracted [320493] | $349 | 393% |
| USA Managed Care Org Contracted [320429] | $349 | 393% |
| Insurance System Inc Contracted [320465] | $349 | 393% |
| Edison Health Solutions Contracted [320502] | $349 | 393% |
| Private Health Care Systems Contracted [320320] | $349 | 393% |
| Benefit Management Contracted [320052] | $349 | 393% |
| First Health Contracted [320128] | $349 | 393% |
| Reflect Health Contracted [320492] | $349 | 393% |
| Show-Me Health Administrators Contracted [320483] | $349 | 393% |
| 90 Degree Benefits Contracted [320436] | $349 | 393% |
| Imagine 360 Contracted [320494] | $349 | 393% |
| Health Systems Inc Contracted [320174] | $349 | 393% |