CMS Price Transparency Data

X-ray, hand

Facility: North Carolina Baptist Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $128
  • Cash Discount Price: $195
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at North Carolina Baptist Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$195

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: $195 (219%)
Insurance Median: $128 (144%)
Cash: $195 (219% 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
Medcost $75 - $266 84%
Blue Cross Blue Shield $78 - $135 88%
Aetna $85 - $340 96%
Apex $85 96%
Cigna $85 - $240 96%
Devoted $85 96%
Healthteam $85 96%
UnitedHealthcare $85 - $138 96%
Wellcare $85 - $92 96%
Amerihealth $86 - $108 97%
Carolina Complete $86 - $90 97%
Health Blue $86 - $90 97%
Humana $86 - $219 97%
Medicare (plans) $86 97%
Partners $86 - $90 97%
Alliance $87 - $92 98%
Vaya $87 - $91 98%
Trillium $88 - $93 99%
Liberty $98 110%
Ambetter / Centene $102 - $108 115%
Oscar $114 - $144 128%
Directnet $224 - $236 252%
Cone Health $265 - $280 298%
Healthgram $265 - $280 298%
First Carolina Care $303 - $320 341%
Private Healthcare Systems $311 - $328 350%
Multiplan $341 - $360 384%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals