CMS Price Transparency Data

X-ray, ankle

Facility: Duke University Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $95
Cash Discount Price: $154
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Duke University Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 2301 Erwin Rd, Durham, NC.

Cash / Self-Pay

$154

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $154 (173%)

Insurance Median: $95 (107%)

Cash: $154 (173% of Medicare)

Ins. Median: $95 (107% 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.

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
Amerihealth	$61 - $95	69%
Blue Cross Blue Shield	$61 - $288	69%
Carolina Complete Health	$61 - $95	69%
Trillium	$61 - $95	69%
Alliance Health	$68 - $95	76%
Partners	$68 - $95	76%
UnitedHealthcare	$71 - $391	80%
Cigna	$76 - $570	85%
Aetna	$80 - $341	90%
Humana	$85 - $484	96%
Troy Health	$86	97%
Voans	$86	97%
Liberty	$87	98%
Medcost	$165 - $243	186%
Sentara	$237 - $355	267%

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 $154.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Duke University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.