CMS Price Transparency Data

X-ray, ankle

Facility: Carilion Tazewell Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $351
Cash Discount Price: $223
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Carilion Tazewell Community Hospital is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.95x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$223

Average discount available for prompt cash payment at this facility.

Insurance Median

$351

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: $223 (251%)

Insurance Median: $351 (395%)

Cash: $223 (251% of Medicare)

Ins. Median: $351 (395% 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 395% of the Medicare baseline (a markup of 295%). 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
Corvel	$30	34%
Blue Cross Blue Shield	$33 - $459	37%
Sentara Health Plan	$33 - $396	37%
Abh Of Va (Formerly Coventry)	$34	38%
Abh Of Wva (Formerly Coventry)	$34	38%
Humana	$34 - $83	38%
UnitedHealthcare	$34 - $522	38%
Aetna	$76 - $424	85%
Allcare	$81	91%
Gateway - Tier 3	$351	395%
Vhn - Ultra	$396	445%
Cigna	$405 - $432	456%
Connecticare	$447	503%
Vhn - Plus	$491	552%
Gateway - Tier 2	$510	574%
Vhn	$510	574%
Integrated Health Plan	$542	610%
Vhn - Link	$574	646%
Gateway - Tier 1	$606	682%
Vhn - Secondary Payors	$606	682%
National Provider Network	$612	688%

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 $223.
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 Carilion Tazewell Community Hospital 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.