CMS Price Transparency Data

X-ray, ankle

Facility: North Carolina Baptist Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $115
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at North Carolina Baptist Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$175

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: $175 (197%)
Insurance Median: $115 (129%)
Cash: $175 (197% 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
Medcost $68 - $239 76%
Blue Cross Blue Shield $71 - $122 80%
Amerihealth $77 - $97 87%
Carolina Complete $77 - $81 87%
Health Blue $77 - $81 87%
Partners $77 - $81 87%
UnitedHealthcare $78 - $124 88%
Vaya $78 - $82 88%
Wellcare $78 - $85 88%
Alliance $79 - $83 89%
Trillium $79 - $84 89%
Aetna $81 - $306 91%
Apex $85 96%
Cigna $85 - $216 96%
Devoted $85 96%
Healthteam $85 96%
Humana $86 - $197 97%
Medicare (plans) $86 97%
Ambetter / Centene $92 - $97 103%
Liberty $98 110%
Oscar $102 - $130 115%
Directnet $202 - $213 227%
Cone Health $239 - $252 269%
Healthgram $239 - $252 269%
First Carolina Care $273 - $288 307%
Private Healthcare Systems $280 - $295 315%
Multiplan $307 - $324 345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals