CMS Price Transparency Data

X-ray, hip

Facility: North Carolina Baptist Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $148
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at North Carolina Baptist Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $226 (254%)
Insurance Median: $148 (166%)
Cash: $226 (254% of Medicare)
Ins. Median: $148 (166% 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
Aetna $85 - $394 96%
Apex $85 96%
Blue Cross Blue Shield $85 - $157 96%
Cigna $85 - $278 96%
Devoted $85 96%
Healthteam $85 96%
UnitedHealthcare $85 - $160 96%
Wellcare $85 - $106 96%
Humana $86 - $254 97%
Medicare (plans) $86 97%
Medcost $87 - $309 98%
Liberty $98 110%
Amerihealth $99 - $125 111%
Carolina Complete $99 - $105 111%
Health Blue $99 - $105 111%
Partners $99 - $105 111%
Vaya $100 - $106 112%
Alliance $101 - $107 114%
Trillium $102 - $108 115%
Ambetter / Centene $119 - $125 134%
Oscar $132 - $167 148%
Directnet $259 - $274 291%
Cone Health $307 - $325 345%
Healthgram $307 - $325 345%
First Carolina Care $351 - $371 395%
Private Healthcare Systems $360 - $380 405%
Multiplan $395 - $418 444%

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