CMS Price Transparency Data

X-ray, ankle

Facility: Banner Del E. Webb Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $168
Cash Discount Price: $87
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Banner Del E. Webb Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.89x the Medicare baseline. Located in 14502 West Meeker Boulevard, Sun City West, AZ.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$168

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: $87 (98%)

Insurance Median: $168 (189%)

Cash: $87 (98% of Medicare)

Ins. Median: $168 (189% 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.

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
Blue Cross Blue Shield	$44 - $116	49%
Arizona Physicians Ipa	$59	66%
Banner University Health Plan	$59	66%
Health Choice Arizona, Inc.	$59 - $186	66%
Health Net	$59 - $201	66%
Mercy Care	$59	66%
Aetna	$75 - $215	84%
Hospice Of The Valley	$131	147%
Arizona Priority Care	$149	168%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$168	189%
Plotkin Health	$168	189%
Oscar Health Plan	$186	209%
Quiktrip Corporation	$201	226%
Cigna	$245 - $256	276%
Provider Network Of America	$280	315%
Arizona Medical Network	$298	335%
UnitedHealthcare	$347 - $410	390%

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 $87.
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 Banner Del E. Webb 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.