CMS Price Transparency Data

X-ray, ankle

Facility: City of Hope National Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $353
Cash Discount Price: $441
vs. Medicare Baseline: 3.97x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at City of Hope National Medical Center is $353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.97x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$353

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: $441 (496%)

Insurance Median: $353 (397%)

Cash: $441 (496% of Medicare)

Ins. Median: $353 (397% 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 397% of the Medicare baseline (a markup of 297%). 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
Health Net	$18 - $514	20%
Cal Optima	$26 - $35	29%
Heritage Provider Network	$31 - $371	35%
Inland Empire	$39 - $424	44%
Prime Healthcare Keenan	$56 - $508	63%
Blue Cross Blue Shield	$152 - $371	171%
UnitedHealthcare	$198 - $380	223%
Blue Shield	$209 - $631	235%
Blue Shield Covca	$215 - $322	242%
Blue Shield Promise	$247 - $371	278%
Cencal	$282 - $424	317%
La Care Health	$282 - $424	317%
Kaiser	$318 - $477	358%
Aetna	$353 - $530	397%
Gold Coast	$353 - $530	397%
Molina	$353 - $688	397%
Facey	$388 - $582	436%
Healthcare Partners	$409 - $614	460%
St. Joseph Heritage	$424 - $635	477%
Cigna	$425	478%
Primecare Medical Network	$459 - $688	516%
First Health	$544 - $815	612%
Phcs Multiplan	$635 - $953	714%

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 $441.
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 City of Hope National Medical Center 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.