CMS Price Transparency Data

X-ray, hip

Facility: Charleston Area Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $176
  • Cash Discount Price: $454
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Charleston Area Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.98x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$454

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $454 (511%)
Insurance Median: $176 (198%)
Cash: $454 (511% of Medicare)
Ins. Median: $176 (198% 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 $23 - $541 26%
The Health Plan Of West Virginia Inc. $23 - $535 26%
Unicare Health Plan Of West Virginia Inc. $23 - $33 26%
Triwest Va $42 - $86 47%
Blue Cross Blue Shield $44 - $503 49%
Choicecare Network $44 - $541 49%
Optimum Choice Inc. $44 - $89 49%
UnitedHealthcare $44 - $541 49%
West Virginia Senior Advantage Inc. $46 - $93 52%
City Of Charleston $57 - $414 64%
Naphcare $60 - $178 67%
Integrated Medical Solutions $63 - $173 71%
Caresource $66 - $222 74%
Tricare $194 - $331 218%
Three Rivers Providers Network $314 - $535 353%
Healthsmart $318 - $541 358%
Multiplan $318 - $541 358%
Cigna $321 - $513 361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals