CMS Price Transparency Data
X-ray, ankle
Facility: Adventist Health White Memorial
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $592
- Cash Discount Price: $319
- vs. Medicare Baseline: 6.66x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health White Memorial is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.66x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$319
Average discount available for prompt cash payment at this facility.
Insurance Median
$592
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: $319 (359%)
Insurance Median: $592 (666%)
Cash: $319 (359% of Medicare)
Ins. Median: $592 (666% 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 666% of the Medicare baseline (a markup of 566%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $15 | 17% |
| Access Medi-Cal | $36 | 40% |
| Ahp Medi-Cal | $36 | 40% |
| Alta Los Angeles Mcal 1/1/19 | $36 | 40% |
| Avanti Mcal | $36 | 40% |
| Bella Vista Medi-Cal Op/Profee Only | $36 | 40% |
| Healthcare Inc Medi-Cal | $36 | 40% |
| Lasalle Mg Medi-Cal | $36 | 40% |
| Medi-Cal | $36 | 40% |
| Molina Medi-Cal | $36 | 40% |
| Pacific Alliance Medi-Cal | $36 | 40% |
| Pacific Ipa Medi-Cal | $36 | 40% |
| Preferred Ipa La Care Mcal Cap | $36 | 40% |
| Preferred Medi-Cal | $36 | 40% |
| Altamed Medi-Cal - All Other Plans | $41 | 46% |
| Fcs Ipa Medi-Cal Op/Profee Only | $43 | 48% |
| Healthnet Mcal | $43 | 48% |
| Preferred Healthy | $45 | 51% |
| Assoc Hispanic Physcns Mcal | $50 | 56% |
| Blue Shield Mcr Adv | $85 | 96% |
| Blue Shield Medi-Cal | $90 | 101% |
| Access Group | $95 | 107% |
| Ahp - All Other Plans | $95 | 107% |
| Lasalle Mg Commercial - All Other Plans | $95 | 107% |
| Aetna | $110 | 124% |
| Access Senior - All Other Plans | $112 | 126% |
| Ahp Senior | $112 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $112 | 126% |
| Altamed Connect | $112 | 126% |
| Avanti Mcr Adv - All Other Plans | $112 | 126% |
| Brand New Day Mcare - All Plans | $112 | 126% |
| Bs Va Mcare | $112 | 126% |
| Care First Mcare - All Other Plans | $112 | 126% |
| Clever Care - All Plans | $112 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $112 | 126% |
| Humana | $112 | 126% |
| Lasalle Mg Senior | $112 | 126% |
| Medicare (plans) | $112 | 126% |
| Molina Mcare | $112 | 126% |
| Pacific Alliance Mcare - All Other Plans | $112 | 126% |
| Preferred Senior | $112 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $112 | 126% |
| Tricare | $112 | 126% |
| UnitedHealthcare | $112 - $888 | 126% |
| Blue Cross Blue Shield | $116 - $169 | 130% |
| Fcs Ipa Op/Profee Only - All Other Plans | $118 | 133% |
| Care First Medi-Cal | $126 | 142% |
| Bright Health - All Plans | $129 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $134 | 151% |
| Preferred Commercial - All Other Plans | $134 | 151% |
| Intergrated Medical - All Plans | $146 | 164% |
| Molina Benefit Exchange - All Other Plans | $151 | 170% |
| Php-Prospect Health Plan Cap - All Plans | $168 | 189% |
| Ah Employee Health Plan - All Plans | $201 | 226% |
| Centivo - All Plans | $252 | 283% |
| Blue Shield Epn | $282 - $422 | 317% |
| Blue Shield - All Other Plans | $328 - $492 | 369% |
| Cigna | $378 | 425% |
| Pacific Ipa - All Other Plans | $450 - $674 | 506% |
| Kaiser- All Plans | $485 - $728 | 545% |
| Western Growers/Pinnacle - All Plans | $485 - $728 | 545% |
| Healthnet - All Other Plans | $535 - $803 | 602% |
| Healthnet Comm Care | $552 - $828 | 621% |
| Caremore Mcare - All Plans | $592 - $888 | 666% |
| Hcpamg - All Plans | $593 - $889 | 667% |
| Healthcare Inc - All Other Plans | $651 - $976 | 732% |
| La Care Mcr Adv - All Plans | $651 - $976 | 732% |
| First Heatlh Ppo - All Plans | $686 - $1,030 | 772% |
| Phcs Ppo - All Plans | $769 - $1,154 | 865% |
| Scan Health Mcare - All Plans | $769 - $1,154 | 865% |
| Ahf - All Plans | $887 - $1,331 | 998% |
| Beech Street - All Plans | $887 - $1,331 | 998% |
| Interplan Ppo - All Plans | $887 - $1,331 | 998% |
| Corvel Corp - All Plans | $946 - $1,420 | 1064% |
| Multiplan Ppo - All Plans | $982 - $1,473 | 1104% |
| Healthmannet - All Plans | $1,006 - $1,509 | 1131% |
| Next Inc Ppo - All Plans | $1,006 - $1,509 | 1131% |
| Trpn - All Plans | $1,006 - $1,509 | 1131% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,065 - $1,598 | 1198% |
| Fpn Ppo - All Plans | $1,065 - $1,598 | 1198% |
| Healthnet Mcr Adv | $1,810 - $2,716 | 2036% |