CMS Price Transparency Data

X-ray, hip

Facility: Transylvania Regional Hospital, Inc

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $455
Cash Discount Price: $1,110
vs. Medicare Baseline: 5.12x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Transylvania Regional Hospital, Inc is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,110. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.12x the Medicare baseline. Located in 90 Hospital Drive Po Box 1116, Brevard, NC.

Cash / Self-Pay

$1,110

Average discount available for prompt cash payment at this facility.

Insurance Median

$455

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: $1,110 (1248%)

Insurance Median: $455 (512%)

Cash: $1,110 (1248% of Medicare)

Ins. Median: $455 (512% 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 512% of the Medicare baseline (a markup of 412%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$210 - $222	236%
United	$213 - $499	240%
Wellcare	$216	243%
Amerihealth	$218	245%
Partners Health Management	$220	247%
Vaya Health	$220	247%
Apex Health	$222	250%
Aetna	$289 - $802	325%
Cigna	$406 - $565	457%
Amerihealth Caritas	$455	512%
Caresource	$488	549%
Medcost	$621 - $943	698%
Magellan	$666	749%
Magellan Behavioral Health	$666	749%
Multiplan	$888	999%
Avalon Administrative Services	$943	1061%
Prime Health	$977 - $999	1099%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,110.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Transylvania Regional Hospital, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.