CMS Price Transparency Data

X-ray, ankle

Facility: Oro Valley Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $129
  • Cash Discount Price: $548
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Oro Valley Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$548

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $548 (616%)
Insurance Median: $129 (145%)
Cash: $548 (616% of Medicare)
Ins. Median: $129 (145% 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.

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
Aetna $37 - $462 42%
Medicaid / KanCare $58 - $93 65%
Magellan $61 - $1,460 69%
Caremore Health Plan $82 - $91 92%
Cigna $82 - $319 92%
Humana $82 - $91 92%
Medicare (plans) $82 - $91 92%
Scan Health $82 - $91 92%
UnitedHealthcare $82 - $391 92%
Pascua Yaqui Tribe $83 - $92 93%
Blue Cross Blue Shield $84 - $372 94%
Clover Health Mcr Adv $84 - $94 94%
Department Of Veterans Affairs $84 - $93 94%
Fresenius Health $84 - $93 94%
Node Non Par Hospice Agree $84 - $93 94%
Node Triwest $84 - $93 94%
Node Va $84 - $93 94%
Tricare $84 - $93 94%
Node Devoted Health Mcr Adv $85 - $94 96%
Node Banner Mcr Adv $86 - $96 97%
Veterans Eval Services $86 - $171 97%
Wellcare Mcr Adv $86 - $96 97%
Node Us Dept Of Labor $104 - $116 117%
Ambetter / Centene $118 - $131 133%
Node Health Choice Exchange $125 - $138 141%
Node Fusion Network $150 - $167 169%
Node J Allen Inmate Health Svcs $159 - $176 179%
Health Net $176 - $195 198%
Seven Corners $192 - $214 216%
Self Pay $292 - $1,022 328%
Beacon Health Options $608 - $1,217 684%
Mtc $608 - $1,217 684%
First Health Coventry $639 - $1,278 719%
Coventry Work Comp Al $730 - $1,460 821%
Multiplan $1,010 - $2,020 1136%
Prime Health $1,034 - $2,069 1163%
Three Rivers $1,034 - $2,069 1163%
Healthsmart $1,095 - $2,191 1232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals