CMS Price Transparency Data

X-ray, ankle

Facility: Carolinas Rehabilitation

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $190
Cash Discount Price: $275
vs. Medicare Baseline: 2.14x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Carolinas Rehabilitation is $190. 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 2.14x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$275

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $190 (214%)

Cash: $275 (309% of Medicare)

Ins. Median: $190 (214% 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 214% of the Medicare baseline (a markup of 114%). 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
Amerihealth Caritas	$7 - $214	8%
Carolina Complete Health	$7 - $218	8%
Healthy Blue	$7 - $218	8%
UnitedHealthcare	$7 - $360	8%
Wellcare	$7 - $218	8%
Aetna	$8 - $467	9%
Cigna	$8 - $371	9%
Humana	$8 - $90	9%
Blue Cross Blue Shield	$22 - $264	25%
Ambetter / Centene	$42 - $204	47%
Choicecare	$45 - $428	51%
Medcost	$59 - $368	66%
Employers Health Network	$243	273%
Physician Reach Out	$274	308%
Quik Trip	$357	402%
Healthgram	$439	494%
Private Health Care Systems	$450	506%
First Health	$467	525%
Beechstreet	$505	568%
Multiplan	$505	568%

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 Rehabilitation 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.