CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Reedley

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $33
Cash Discount Price: $29
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Reedley is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.37x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $29 (33%)

Insurance Median: $33 (37%)

Cash: $29 (33% of Medicare)

Ins. Median: $33 (37% 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
Healthnet Medi-Cal	$5 - $156	6%
Ah Employee Health Plan - All Plans	$9 - $201	10%
Blue Shield Mcare	$9 - $112	10%
Fhcn Pace Mcr Adv-All Plans	$9 - $112	10%
Lasalle Med Assoc Profee Only - All Plans	$9	10%
Tricare	$9 - $112	10%
UnitedHealthcare	$9 - $438	10%
Upn Mcr Adv Profee Only	$9	10%
Cigna	$10 - $677	11%
Community Care Ipa Mcal-All Plans	$10 - $47	11%
Blue Shield Epn - All Other Plans	$11 - $460	12%
Blue Shield Non Epn	$12 - $533	13%
Healthnet- All Other Plans	$12 - $453	13%
Kaiser - All Other Plans	$12 - $520	13%
Kaiser Mcr Adv	$12 - $112	13%
Western Growers/Pinnacle- All Plans	$13 - $479	15%
Blue Cross Blue Shield	$15 - $194	17%
Bc Mcal	$16 - $25	18%
Aetna	$22 - $185	25%
Cal Viva Hlth Mcal - All Plans	$25 - $36	28%
Central Ca Alliance Mcal Profee Only	$25	28%
Dignity Mcal Op/Profee Only-All Other Plans	$25 - $40	28%
Medi-Cal	$25 - $36	28%
Upn Mcal Profee Only-All Other Plans	$25	28%
Physicians Med Group Op/Profee Only- All Plans	$26 - $833	29%
Kern Health Systems Mcal-All Plans	$31 - $36	35%
Central Ca Alliance Ccs Profee Only	$33 - $38	37%
Central Ca Alliance Chdp Profee Only	$33 - $50	37%
Central Ca Alliance Comm Profee Only - All Other P	$33 - $38	37%
Dignity Mcr Adv Op/Profee Only	$112	126%
Healthnet- Mcr Adv	$112	126%
Phs Prime Health Srvcs	$112	126%
Bright Health Mcr Adv - All Plans	$176	198%

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 $29.
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 Adventist Health Reedley 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.