CMS Price Transparency Data

X-ray, ankle

Facility: Carolina East Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $359
Cash Discount Price: $328
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Carolina East Medical Center is $359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.04x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$328

Average discount available for prompt cash payment at this facility.

Insurance Median

$359

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: $328 (369%)

Insurance Median: $359 (404%)

Cash: $328 (369% of Medicare)

Ins. Median: $359 (404% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 404% of the Medicare baseline (a markup of 304%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$8 - $83	9%
Inclusive Health (Nchirp)-All Plans	$8 - $83	9%
Tricare	$8 - $821	9%
Pamlico Co Jail-All Plans	$32 - $218	36%
UnitedHealthcare	$42 - $584	47%
Craven Co. Jail Systems - All Plans	$47 - $277	53%
Medcost Ppo Employees And Retirees	$79 - $539	89%
Medcost Ppo Ultra (Employees)	$79 - $514	89%
Blue Cross Blue Shield	$84 - $563	94%
Medcost Ppo City Employees	$88 - $598	99%
Medcost Ppo County Employee	$92 - $622	103%
Benefit Mgmt, Svcs-All Plans	$103 - $698	116%
Aetna	$107 - $727	120%
Medcost Benefit Svc-All Other Plans	$107 - $726	120%
Acs Consult Svc Inc-All Plans	$109 - $742	123%
Medcost Ppo Standard	$109 - $742	123%
Cigna	$110 - $747	124%

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 $328.
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 Carolina East 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.