CMS Price Transparency Data

X-ray, ankle

Facility: Frye Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $118
Cash Discount Price: $470
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Frye Regional Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 420 N Center St, Hickory, NC.

Cash / Self-Pay

$470

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $470 (529%)

Insurance Median: $118 (133%)

Cash: $470 (529% of Medicare)

Ins. Median: $118 (133% 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
Aetna	$32 - $76	36%
UnitedHealthcare	$65 - $470	73%
Ambetter / Centene	$66 - $70	74%
Humana	$74	83%
Blue Cross Blue Shield	$116 - $255	130%
Amerihealth Caritas North Carolina	$118	133%
Carolina Complete Health Inc.	$118	133%
Partners Health Management	$118	133%
Wellcare Of North Carolina, Inc	$120	135%
Sherrill Furniture	$261	294%

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 $470.
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 Frye Regional Medical Center 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.