CMS Price Transparency Data

X-ray, ankle

Facility: The Outer Banks Hospital, Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $592
Cash Discount Price: $628
vs. Medicare Baseline: 6.66x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at The Outer Banks Hospital, Inc is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $628. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.66x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$628

Average discount available for prompt cash payment at this facility.

Insurance Median

$592

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: $628 (706%)

Insurance Median: $592 (666%)

Cash: $628 (706% of Medicare)

Ins. Median: $592 (666% 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 666% of the Medicare baseline (a markup of 566%). 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
Blue Cross Blue Shield	$272 - $837	306%
Carolina Complete Health [1317]	$286 - $445	322%
Wellcare [1320]	$288 - $447	324%
Amerihealth McAid Adv [1316]	$289 - $450	325%
Liberty Advantage [1313]	$323 - $502	363%
UnitedHealthcare	$331 - $801	372%
Humana	$334 - $519	376%
Aetna	$341 - $1,069	384%
Longevity Health [1411]	$399 - $621	449%
Nc Dept of Public Safety [1095]	$553 - $860	622%
Medcost [1067]	$565 - $920	635%
Cigna	$746 - $1,297	839%
Multiplan [1031]	$834 - $1,297	938%

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 $628.
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 The Outer Banks Hospital, Inc 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.