CMS Price Transparency Data

X-ray, hip

Facility: Mountain West Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $450
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mountain West Medical Center is $450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.06x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$450

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: $367 (413%)
Insurance Median: $450 (506%)
Cash: $367 (413% of Medicare)
Ins. Median: $450 (506% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 506% of the Medicare baseline (a markup of 406%). 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.

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
Select Health McR Adv $88 99%
Blue Cross Blue Shield $88 - $252 99%
Medicare (plans) $110 124%
U of Ut-All Plans $398 448%
Wise/Motivhealth-All Plans $398 448%
Cigna $434 488%
Dmba-All Plans $441 496%
Aetna $459 516%
Select Health-All Other Plans $459 516%
Pehp-All Plans $459 516%
UnitedHealthcare $471 530%
Multiplan Primary Network-All Other Plans $484 544%
Emi-All Plans $520 585%
Humana $520 585%
Multiplan Complimentary Network $563 633%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals