CMS Price Transparency Data

X-ray, ankle

Facility: Copper Queen Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $129
Cash Discount Price: $369
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Copper Queen Community Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.

Cash / Self-Pay

$369

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: $369 (415%)

Insurance Median: $129 (145%)

Cash: $369 (415% 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.

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
Allwell	$74	83%
Amerigroup	$74	83%
Azch Complete	$74	83%
Banner Uc Health	$74	83%
Humana	$74	83%
Triwest	$74	83%
UnitedHealthcare	$83 - $269	93%
Copperpoint	$114	128%
Bisbee Police	$120	135%
Aetna	$129 - $416	145%
Health Net Of Az	$129 - $277	145%
Apipa	$172 - $173	193%
Cigna	$299 - $300	336%
Blue Cross Blue Shield	$313 - $314	352%
Self Pay	$368 - $370	414%

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 $369.
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 Copper Queen Community 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.