CMS Price Transparency Data

X-ray, ankle

Facility: Grand Strand Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $455
Cash Discount Price: $1,513
vs. Medicare Baseline: 5.12x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Grand Strand Regional Medical Center is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,513. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.12x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$1,513

Average discount available for prompt cash payment at this facility.

Insurance Median

$455

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: $1,513 (1702%)

Insurance Median: $455 (512%)

Cash: $1,513 (1702% of Medicare)

Ins. Median: $455 (512% 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 512% of the Medicare baseline (a markup of 412%). 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%
Group Health	$19	21%
Blue Choice	$35	39%
United	$35 - $906	39%
Select Health	$49	55%
Sc State Employees	$62	70%
Blue Choice Health Plan	$110	124%
Blue Cross Blue Shield	$110 - $1,913	124%
Absolute Total Care	$148 - $363	166%
Cigna	$160 - $651	180%
Nhc Advantage	$192 - $383	216%
Pruitt Health	$192 - $383	216%
Occunet	$506 - $1,007	569%
Medcost	$507 - $1,376	570%
Vocational Rehab	$546 - $1,088	614%
Employers Health Network	$557 - $1,108	626%
Evernorth	$810 - $1,611	911%
First Health	$835 - $1,662	939%
Global Excel Management	$840 - $1,672	945%
Humana	$860 - $1,712	967%
Multiplan	$860 - $1,712	967%
National Choicecare	$860 - $1,712	967%
Prime Health	$860 - $1,712	967%
Novanet	$911 - $1,813	1025%

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 $1,513.
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 Grand Strand Regional 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.