CMS Price Transparency Data

X-ray, ankle

Facility: Oak Valley Hospital District

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $737
Cash Discount Price: $1,009
vs. Medicare Baseline: 8.29x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Oak Valley Hospital District is $737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.29x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$737

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: $1,009 (1135%)

Insurance Median: $737 (829%)

Cash: $1,009 (1135% of Medicare)

Ins. Median: $737 (829% 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 829% of the Medicare baseline (a markup of 729%). 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
Blue Cross Blue Shield	$36 - $1,453	40%
Healthnet Medi-Cal Ip/Op Only	$36	40%
Kaiser Medi-Cal Ip/Op Only	$36	40%
Medi-Cal Ip/Op Only	$36	40%
Hp Of San Joaquin Ip/Op Only-All Plans	$43	48%
Alignment Op Only Ip/Op Only-All Plans	$112	126%
Humana	$112	126%
Kaiser Mcr Adv Ip/Op Only	$112	126%
Scan Health Plan Ip/Op Only-All Plans	$114	128%
Imperial Health Ip/Op Only-All Plans	$123	138%
Blue Shield Epn Ip/Op Only	$582 - $873	655%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$624 - $936	702%
Kaiser Comm Ip/Op Only-All Other Plans	$667 - $1,001	750%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$710 - $1,065	799%
Cigna	$721 - $1,081	811%
UnitedHealthcare	$753 - $1,130	847%
Aetna	$916 - $1,374	1030%

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 $1,009.
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 Oak Valley Hospital District 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.