CMS Price Transparency Data

X-ray, hip

Facility: Carolina East Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $122
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Carolina East Medical Center is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.37x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $169 (190%)
Insurance Median: $122 (137%)
Cash: $169 (190% of Medicare)
Ins. Median: $122 (137% 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
Humana $10 - $83 11%
Inclusive Health (Nchirp)-All Plans $10 - $83 11%
Tricare $10 - $426 11%
Pamlico Co Jail-All Plans $36 - $113 40%
UnitedHealthcare $48 - $303 54%
Craven Co. Jail Systems - All Plans $67 - $144 75%
Medcost Ppo Employees And Retirees $89 - $280 100%
Medcost Ppo Ultra (Employees) $89 - $267 100%
Blue Cross Blue Shield $95 - $292 107%
Medcost Ppo City Employees $99 - $310 111%
Medcost Ppo County Employee $103 - $323 116%
Benefit Mgmt, Svcs-All Plans $116 - $362 130%
Aetna $120 - $377 135%
Medcost Benefit Svc-All Other Plans $120 - $376 135%
Acs Consult Svc Inc-All Plans $123 - $385 138%
Medcost Ppo Standard $123 - $385 138%
Cigna $124 - $388 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals