CMS Price Transparency Data

X-ray, ankle

Facility: Santa Clara Valley Medical Center

Billing Code: 73610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 1.1× the $89 Medicare rate · typically $27–$138
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $71 under the fair price · 0.3× Medicare
Medicare pays $89 Fair price $99 This hospital $28 Cash price $74 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $28

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, ankle is about $99 (about 1.1× the $89 Medicare rate). Santa Clara Valley Medical Center charges insurers about $28, or about $74 in cash — below the fair price — a good deal. Located in San Jose, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12 13%
Blue Cross Blue Shieldmajor $56 63%
Aetnamajor $42 - $43 47%
Cignamajor $66 74%
Health Net $10 11%
+ 2 smaller / regional plans $10 - $87
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals