CMS Price Transparency Data

X-ray, ankle

Facility: Colleton Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $640
Cash Discount Price: $1,130
vs. Medicare Baseline: 7.20x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Colleton Medical Center is $640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,130. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.20x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,130

Average discount available for prompt cash payment at this facility.

Insurance Median

$640

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: $1,130 (1271%)

Insurance Median: $640 (720%)

Cash: $1,130 (1271% of Medicare)

Ins. Median: $640 (720% 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 720% of the Medicare baseline (a markup of 620%). 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 Choice	$35	39%
United	$35 - $800	39%
Select Health	$49	55%
Sc State Employees	$62 - $69	70%
Absolute Total Care	$130 - $271	146%
Blue Choice Health Plan	$146 - $153	164%
Blue Cross Blue Shield	$146 - $1,432	164%
Nhc Advantage	$169 - $286	190%
Pruitt Health	$169 - $286	190%
Employers Health Network	$401 - $678	451%
Value Option	$446 - $754	502%
Vocational Rehab	$482 - $814	542%
Medcost	$503 - $1,100	566%
Aetna	$516 - $873	580%
Cigna	$576 - $974	648%
Humana	$580 - $1,356	652%
Mhnet	$669 - $1,130	752%
Evernorth	$714 - $1,206	803%
Multiplan	$758 - $1,281	853%
North American Administrators	$758 - $1,281	853%
Prime Health	$758 - $1,281	853%
First Health	$803 - $1,356	903%
Novanet	$803 - $1,356	903%

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 $1,130.
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 Colleton 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.