CMS Price Transparency Data

X-ray, hip

Facility: Carolinas Medical Center/Behav Health

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $145
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Carolinas Medical Center/Behav Health is $145. 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 1.63x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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: $145 (163%)
Cash: $230 (259% of Medicare)
Ins. Median: $145 (163% 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 $10 - $335 11%
Alliance $10 - $120 11%
Amerihealth Caritas $10 - $100 11%
Blue Cross Blue Shield $10 - $266 11%
Carolina Complete Health $10 - $459 11%
Cigna $10 - $368 11%
Healthy Blue $10 - $102 11%
Humana $10 - $377 11%
Partners $10 - $101 11%
Trillium $10 - $107 11%
UnitedHealthcare $10 - $233 11%
Vaya $10 - $103 11%
Wellcare $10 - $102 11%
Ortho Carolina $13 - $110 15%
Molina $36 40%
Choicecare $61 - $340 69%
Medcost $77 - $271 87%
Sandhills $101 114%
Ambetter / Centene $133 - $217 150%
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%
First Health $368 - $404 414%
Healthgram $368 414%
Private Health Care Systems $368 - $377 414%
Provider Select $372 - $413 418%
Lifesynch Community Choice Care $377 424%
Beechstreet $400 - $404 450%
Multiplan $413 465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals