CMS Price Transparency Data

X-ray, ankle

Facility: Carolinas Medical Center/Behav Health

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $124
Cash Discount Price: $275
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Carolinas Medical Center/Behav Health is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.39x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$275

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $275 (309%)

Insurance Median: $124 (139%)

Cash: $275 (309% of Medicare)

Ins. Median: $124 (139% 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
Alliance	$7 - $143	8%
Amerihealth Caritas	$7 - $120	8%
Carolina Complete Health	$7 - $549	8%
Healthy Blue	$7 - $122	8%
Partners	$7 - $121	8%
Trillium	$7 - $128	8%
UnitedHealthcare	$7 - $279	8%
Vaya	$7 - $123	8%
Wellcare	$7 - $122	8%
Aetna	$8 - $401	9%
Blue Cross Blue Shield	$8 - $318	9%
Cigna	$8 - $439	9%
Humana	$8 - $450	9%
Ortho Carolina	$10 - $110	11%
Molina	$30	34%
Choicecare	$45 - $406	51%
Medcost	$59 - $324	66%
Sandhills	$121	136%
Ambetter / Centene	$159 - $259	179%
Employers Health Network	$243	273%
Physician Reach Out	$274	308%
Magellan	$329	370%
Gmmi	$357	402%
Quik Trip	$357	402%
Carolina Behavioral Health	$395 - $439	444%
First Health	$439 - $483	494%
Healthgram	$439	494%
Private Health Care Systems	$439 - $450	494%
Provider Select	$445 - $494	501%
Lifesynch Community Choice Care	$450	506%
Beechstreet	$478 - $483	538%
Multiplan	$494	556%

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 $275.
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 Carolinas Medical Center/Behav Health 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.