CMS Price Transparency Data

X-ray, ankle

Facility: University of Alabama Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $648
Cash Discount Price: Unavailable
vs. Medicare Baseline: 7.29x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at University of Alabama Hospital is $648. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.29x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$648

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%)

Insurance Median: $648 (729%)

Ins. Median: $648 (729% 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 729% of the Medicare baseline (a markup of 629%). 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
Viva	$34	38%
UnitedHealthcare	$162 - $687	182%
Cigna	$229 - $847	258%
University Of Alabama	$334 - $632	376%
Aetna	$407 - $771	458%
Coventry	$434 - $1,021	488%
North Alabama Managed Care	$434 - $822	488%
Comp One	$480 - $910	540%
Construction Claims Management	$499 - $945	561%
Alamed	$500 - $948	562%
Corvel	$534 - $1,011	601%
Evolutions	$534 - $1,138	601%
Healthcare Alliance	$534 - $1,011	601%
Novanet	$534 - $1,138	601%
Prime Health Services	$534 - $1,138	601%
Select Value Care	$534 - $1,011	601%
Starcare	$534 - $1,011	601%
Tethys	$534 - $1,011	601%
Multiplan	$547 - $1,036	615%
Department Of Labor	$567 - $1,074	638%
Geha	$567 - $1,074	638%
Gulf Health Plans	$567 - $1,074	638%
Heritage Summit Health	$567 - $1,074	638%
Humana	$567 - $1,074	638%
Mississippi Physicians	$567 - $1,074	638%
Phifer	$567 - $1,074	638%
Preferred Health Partnership	$567 - $1,074	638%
Southern Nuclear	$567 - $1,074	638%
Vantage Health Plan	$567 - $1,074	638%
Galaxy Health Network	$600 - $1,138	675%
National Provider Network	$600 - $1,138	675%
North Mississippi Health Link	$600 - $1,138	675%

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 $X.
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 University of Alabama 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.