CMS Price Transparency Data

X-ray, ankle

Facility: Banner-University Medical Center South Campus

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $194
Cash Discount Price: $133
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Banner-University Medical Center South Campus is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.18x the Medicare baseline. Located in 2800 East Ajo Way, Tucson, AZ.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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: $133 (150%)

Insurance Median: $194 (218%)

Cash: $133 (150% of Medicare)

Ins. Median: $194 (218% 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 218% of the Medicare baseline (a markup of 118%). 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
Arizona Physicians Ipa	$59	66%
Banner University Health Plan	$59	66%
Health Choice Arizona, Inc.	$59 - $216	66%
Health Net	$59 - $233	66%
Mercy Care	$59	66%
Blue Cross Blue Shield	$68 - $129	76%
Aetna	$86 - $249	97%
University Of Arizona (Kasser Medical Treatment Center)	$151	170%
Arizona Priority Care	$172	193%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$194	218%
Plotkin Health	$194	218%
Oscar Health Plan	$216	243%
Quiktrip Corporation	$233	262%
Cigna	$265	298%
Provider Network Of America	$323	363%
Arizona Medical Network	$345	388%
UnitedHealthcare	$410	461%

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 $133.
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-University Medical Center South Campus 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.