CMS Price Transparency Data

X-ray, ankle

Facility: Trident Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $424
Cash Discount Price: $1,491
vs. Medicare Baseline: 4.77x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Trident Medical Center is $424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,491. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.77x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,491

Average discount available for prompt cash payment at this facility.

Insurance Median

$424

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: $1,491 (1677%)

Insurance Median: $424 (477%)

Cash: $1,491 (1677% of Medicare)

Ins. Median: $424 (477% 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 477% of the Medicare baseline (a markup of 377%). 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
Aetna	$17 - $105	19%
Blue Choice	$35	39%
United	$35 - $893	39%
Select Health	$49	55%
Sc State Employees	$62	70%
Blue Choice Health Plan	$113	127%
Blue Cross Blue Shield	$113 - $1,886	127%
Absolute Total Care	$146 - $357	164%
Nhc Advantage	$189 - $377	213%
Pruitt Health	$189 - $377	213%
Medcost	$381 - $1,116	429%
Employers Health Network	$449 - $893	505%
Occunet	$498 - $992	560%
Vocational Rehab	$538 - $1,072	605%
Humana	$648 - $1,489	729%
First Health	$728 - $1,449	819%
Mhnet	$748 - $1,489	841%
Evernorth	$798 - $1,588	898%
Multiplan	$847 - $1,687	953%
Prime Health	$847 - $1,687	953%
Novanet	$897 - $1,786	1009%

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 $1,491.
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 Trident 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.