CMS Price Transparency Data

X-ray, hip

Facility: Carilion Franklin Memorial Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $223
Cash Discount Price: $142
vs. Medicare Baseline: 2.51x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Carilion Franklin Memorial Hospital is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.51x the Medicare baseline. Located in 180 Floyd Avenue, Rocky Mount, VA.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $142 (160%)

Insurance Median: $223 (251%)

Cash: $142 (160% of Medicare)

Ins. Median: $223 (251% 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 251% of the Medicare baseline (a markup of 151%). 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	$43 - $426	48%
Sentara Health Plan	$43 - $252	48%
Abh Of Va (Formerly Coventry)	$45	51%
Abh Of Wva (Formerly Coventry)	$45	51%
Humana	$45 - $83	51%
UnitedHealthcare	$45 - $332	51%
Aetna	$76 - $270	85%
Gateway - Tier 3	$223	251%
Vhn - Ultra	$252	283%
Cigna	$274 - $292	308%
Connecticare	$284	319%
Vhn - Plus	$313	352%
Gateway - Tier 2	$325	366%
Vhn	$325	366%
Vhn - Link	$365	411%
Gateway - Tier 1	$386	434%
Vhn - Secondary Payors	$386	434%

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 $142.
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 Carilion Franklin Memorial Hospital 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.