CMS Price Transparency Data

X-ray, ankle

Facility: PAM Specialty Hospital of Rocky Mount LLC

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $753
Cash Discount Price: $968
vs. Medicare Baseline: 8.47x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at PAM Specialty Hospital of Rocky Mount LLC is $753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $968. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.47x the Medicare baseline. Located in 1051 Noell Ln, Rocky Mount, NC.

Cash / Self-Pay

$968

Average discount available for prompt cash payment at this facility.

Insurance Median

$753

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: $968 (1089%)

Insurance Median: $753 (847%)

Cash: $968 (1089% of Medicare)

Ins. Median: $753 (847% 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 847% of the Medicare baseline (a markup of 747%). 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
America'S Choice	$667 - $689	750%
Provider Network Of America	$714 - $738	803%
Quik Trip	$714 - $738	803%
Usa Managed Care Organization	$714 - $738	803%
Velocity Provider Ppo Network	$714 - $738	803%
Healthsmart	$743 - $767	836%
Evolutions Healthcare System	$762 - $787	857%
Multiplan/Phcs	$762 - $787	857%
Fortified Provider Network	$810 - $836	911%
Prime Health Services	$810 - $836	911%
Integrated Health Plan	$905 - $934	1018%

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 $968.
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 PAM Specialty Hospital of Rocky Mount LLC 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.