CMS Price Transparency Data

X-ray, ankle

Facility: Paradise Valley Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $111
Cash Discount Price: $111
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Paradise Valley Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $111 (125%)

Insurance Median: $111 (125%)

Cash: $111 (125% of Medicare)

Ins. Median: $111 (125% 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
Aetna	$26 - $142	29%
Blue Sheid Of Promise	$26	29%
County Of San Diego	$26	29%
Golden Physicians Medical Group	$26 - $139	29%
Health Excel Ins	$26 - $111	29%
Heritage Provider Netwrok	$26 - $145	29%
Molina	$26 - $111	29%
Traditional Medi-Cal	$26	29%
UnitedHealthcare	$26 - $111	29%
Health Net Of Ca	$28 - $163	31%
Community Health Group	$32 - $111	36%
Blue Shield Of Ca, Va	$111	125%
Ca Foundation For Medical Care	$111	125%
Central Health	$111	125%
Choice Physicians Network	$111	125%
Clever Care Of Golden State, Inc	$111	125%
Managed Health Network	$111	125%
Medicare (plans)	$111	125%
Renal Payer Solutions	$111	125%
Tricare	$111	125%
Usa Senior Care Network	$111	125%
Verda Health Plan	$111	125%
Brand New Day	$112 - $167	126%
Imperial Health Plan Of Ca	$118	133%
Health Net Federal Service (Cdcr)	$139	156%
Veterans Evaluation Services	$139	156%
Integrated Medical Solutions	$147	165%
Worker Comp	$147	165%
Ca Dept Of Correction & Rehab	$156	175%
Employer Direct Healthcare	$156	175%
Naphcare	$173 - $223	195%
Scripps Health	$189	213%

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 $111.
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 Paradise Valley 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.