CMS Price Transparency Data

X-ray, hip

Facility: Margaretville Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $128
  • Cash Discount Price: $249
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Margaretville Memorial Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.
Cash / Self-Pay
$249

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $249 (280%)
Insurance Median: $128 (144%)
Cash: $249 (280% of Medicare)
Ins. Median: $128 (144% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $29 - $174 33%
Self-Pay $32 36%
Medicare (plans) $110 - $188 124%
Aetna $110 - $285 124%
Mvp Gold (McR) $110 - $125 124%
Hamaspik (McR) $110 - $125 124%
UnitedHealthcare $110 - $128 124%
Affinity By Molina McR $115 - $132 129%
Cdphp $121 - $138 136%
Oxford Exchange $128 144%
Oxford $128 144%
Emblem Ghi/Hip Ppo/Cbp $154 - $177 173%
Mvp $154 173%
Emblem $155 - $183 174%
Mvp Exchange $162 - $185 182%
Emblem Select Care (Exchange) $169 - $194 190%
Magnacare Standard $174 - $200 196%
Todays Options $181 - $207 204%
Mvp Hmo/Ppo $182 205%
Emblem Ghi/Hip Hmo/Epo/Pos $199 - $228 224%
Magnacare Preferred $199 - $228 224%
Multiplan $204 - $234 229%
First Health $224 - $256 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 42084 State Highway 28, Margaretville, NY 12455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals