CMS Price Transparency Data

X-ray, hip

Facility: Novant Health Forsyth Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $264
Cash Discount Price: $222
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Novant Health Forsyth Medical Center is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.97x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $222 (250%)

Insurance Median: $264 (297%)

Cash: $222 (250% of Medicare)

Ins. Median: $264 (297% 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 297% of the Medicare baseline (a markup of 197%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Carolina Complete	$68 - $85	76%
Nc Department Of Public Safety	$68 - $169	76%
Amerihealth	$70 - $87	79%
Blue Cross Blue Shield	$70 - $330	79%
UnitedHealthcare	$70 - $309	79%
Wellcare	$70 - $87	79%
Humana	$84 - $358	94%
Pace Of The Southern Piedmont	$84	94%
Aetna	$87 - $367	98%
Cigna	$87 - $273	98%
Liberty Health	$89	100%
Caresource North Carolina	$147 - $184	165%
Atlantic Corporation Dba Atlantic Packaging	$207 - $259	233%
Plotkin Health	$220 - $275	247%
Amps	$239 - $298	269%
Medcost	$312 - $431	351%
Primary Physician Care	$323 - $404	363%
Beechstreet	$330 - $413	371%
Multiplan	$330 - $413	371%
Phcs	$330 - $413	371%
Employers Choice Network	$356 - $445	400%
Three Rivers Provider Network	$356 - $445	400%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $222.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Forsyth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.