CMS Price Transparency Data

X-ray, ankle

Facility: USA Health Children's & Women's Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $211
  • Cash Discount Price: $376
  • vs. Medicare Baseline: 2.37x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at USA Health Children's & Women's Hospital is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.37x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.
Cash / Self-Pay
$376

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $376 (423%)
Insurance Median: $211 (237%)
Cash: $376 (423% of Medicare)
Ins. Median: $211 (237% 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 237% of the Medicare baseline (a markup of 137%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Central Healthcare Services $13 - $287 15%
Blue Cross Blue Shield $36 40%
Aetna $37 - $316 42%
Devoted Health $37 - $402 42%
Humana $37 - $373 42%
UnitedHealthcare $37 - $310 42%
Viva Health $37 - $287 42%
Wellcare $37 42%
Molina Marketplace $41 46%
Ambetter / Centene $44 49%
Mississippi Physicians Care Network (Mpcn) $50 56%
Magnolia Health $67 75%
Truecare $67 75%
Molina Chip $74 83%
Cigna $137 - $373 154%
Multiplan $187 - $402 210%
Novanet $258 - $517 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 Center Street, Mobile, AL 36604
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Childrens