CMS Price Transparency Data

X-ray, hip

Facility: Caromont Regional Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $128
  • Cash Discount Price: $426
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Caromont Regional Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$426

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: $426 (479%)
Insurance Median: $128 (144%)
Cash: $426 (479% 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 $64 - $141 72%
Carolina Complete Health $64 72%
Partners Behavioral Health $64 72%
Alliance Behavioral Health $65 73%
Amerihealth Caritas $65 73%
Carolina Complete Health Tailored Plans $65 73%
UnitedHealthcare $65 - $128 73%
Vaya Behavioral Health $65 73%
Wellcare $65 73%
Aetna $92 - $138 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $120 105%
Humana $95 - $375 107%
Absolute Total Care $120 135%
Gaston County Jail $128 144%
Surgery Plus $156 175%
Cigna $165 - $178 186%
Carolina Caring $222 - $337 250%
Corporate Benefits Service $239 269%
Medcost $290 326%
Beech Street $349 393%
Multiplan $349 393%
Self Pay $383 431%
First Health Network $405 456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals