CMS Price Transparency Data

X-ray, ankle

Facility: Caromont Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $115
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Caromont Regional Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $382 (430%)
Insurance Median: $115 (129%)
Cash: $382 (430% of Medicare)
Ins. Median: $115 (129% 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
Blue Cross Blue Shield $57 - $126 64%
Carolina Complete Health $57 64%
Partners Behavioral Health $57 64%
Alliance Behavioral Health $59 66%
Amerihealth Caritas $59 66%
Carolina Complete Health Tailored Plans $59 66%
UnitedHealthcare $59 - $128 66%
Vaya Behavioral Health $59 66%
Wellcare $59 66%
Aetna $92 - $124 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $107 105%
Humana $95 - $336 107%
Absolute Total Care $107 120%
Gaston County Jail $115 129%
Cigna $134 - $165 151%
Surgery Plus $156 175%
Carolina Caring $222 - $303 250%
Corporate Benefits Service $239 269%
Medcost $260 292%
Beech Street $313 352%
Multiplan $313 352%
Self Pay $344 387%
First Health Network $363 408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals