CMS Price Transparency Data

X-ray, hip

Facility: Wakemed, Raleigh Campus

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $202
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 2.27x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Wakemed, Raleigh Campus is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.27x the Medicare baseline. Located in 3000 New Bern Ave, Raleigh, NC.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $212 (238%)
Insurance Median: $202 (227%)
Cash: $212 (238% of Medicare)
Ins. Median: $202 (227% 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 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $52 - $277 58%
Ambetter / Centene $65 - $202 73%
Aetna $85 - $861 96%
Wellcare $85 - $100 96%
Liberty $87 98%
Pruitt $87 98%
Cigna $88 - $284 99%
Alignment $89 100%
Amerihealth $100 112%
Carolina Complete $100 112%
First Health $256 - $490 288%
Medcost $401 - $418 451%
Phcs $446 502%
Multiplan $501 563%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 New Bern Ave, Raleigh, NC 27610
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals