CMS Price Transparency Data

X-ray, hip

Facility: Atrium Health Cleveland

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $96
Cash Discount Price: $230
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Atrium Health Cleveland is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$230

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $230 (259%)

Insurance Median: $96 (108%)

Cash: $230 (259% of Medicare)

Ins. Median: $96 (108% 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.

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
Aetna	$10 - $354	11%
Alliance	$10 - $77	11%
Amerihealth Caritas	$10 - $65	11%
Carolina Complete Health	$10 - $66	11%
Cigna	$10 - $368	11%
Healthy Blue	$10 - $66	11%
Humana	$10 - $84	11%
Partners	$10 - $64	11%
Trillium	$10 - $68	11%
UnitedHealthcare	$10 - $245	11%
Vaya	$10 - $67	11%
Wellcare	$10 - $66	11%
Blue Cross Blue Shield	$57 - $188	64%
Choicecare	$61 - $377	69%
Medcost	$77 - $305	87%
Ambetter / Centene	$147 - $167	165%
Employers Health Network	$203	228%
Physician Reach Out	$230	259%
Magellan	$276	310%
Gmmi	$299	336%
Quik Trip	$299	336%
Carolina Behavioral Health	$331 - $368	372%
Healthgram	$368	414%
First Health	$390	439%
Lifesynch Community Choice Care	$390	439%
Private Health Care Systems	$413	465%
Beechstreet	$423	476%
Multiplan	$436	490%

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 $230.
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 Atrium Health Cleveland 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.