CMS Price Transparency Data
X-ray, ankle
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $140
- Cash Discount Price: $906
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at AHMC Anaheim Regional Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $906. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$906
Average discount available for prompt cash payment at this facility.
Insurance Median
$140
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: $906 (1019%)
Insurance Median: $140 (157%)
Cash: $906 (1019% of Medicare)
Ins. Median: $140 (157% 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
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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 |
|---|---|---|
| Memorial Healthcare Ipa | $21 | 24% |
| Ahmc Reciprocity Agreement | $25 - $360 | 28% |
| Allied Physicians | $25 - $168 | 28% |
| Altamed Health Network | $25 - $110 | 28% |
| Applecare Medical Group | $25 | 28% |
| Beverly Hospital | $25 - $123 | 28% |
| Brand New Day | $25 - $140 | 28% |
| Health Net | $25 | 28% |
| Healthcare Partners | $25 - $110 | 28% |
| Healthy Way La | $25 | 28% |
| Heritage Provider Network | $25 - $151 | 28% |
| Non Contracted Medi-Cal | $25 | 28% |
| Talbert Medical Group | $25 - $27 | 28% |
| Monarch Healthcare Medical Group | $34 | 38% |
| Private Pay Flat Rate | $34 | 38% |
| Caloptima | $35 - $110 | 39% |
| Monarch Health Plan | $35 - $814 | 39% |
| Prospect Health Plan | $35 - $151 | 39% |
| Aids Health Foundation | $36 - $110 | 40% |
| Avanti | $36 - $134 | 40% |
| Emanate Health | $36 - $140 | 40% |
| Health Net Inc | $36 - $921 | 40% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $36 | 40% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $36 | 40% |
| Hollywood Presbyterian Medpoint Mcal | $36 | 40% |
| Kaiser Foundation Hospitals | $36 - $110 | 40% |
| Medi-Cal | $36 | 40% |
| Medical Safety Net Program | $36 | 40% |
| Msi/Medical Services For Indigents | $52 | 58% |
| Blue Cross Blue Shield | $56 - $198 | 63% |
| Aetna | $73 - $110 | 82% |
| Veterans Administration | $78 | 88% |
| Prospect Medical Group | $101 | 114% |
| Alta Los Angeles Hospital | $105 | 118% |
| Tricare | $106 | 119% |
| Alignment Health Plan | $110 | 124% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $244 | 124% |
| California Health Plan | $110 | 124% |
| Central Health Of California | $110 | 124% |
| Davita Heatlhcare Partners Plan Inc | $110 - $647 | 124% |
| Healthnet | $110 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $600 | 124% |
| Pacificare | $110 | 124% |
| Scan Health Plan | $110 | 124% |
| Seoul Medical Group | $110 - $112 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $112 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $112 | 126% |
| Self-Pay | $112 | 126% |
| Nchp | $116 | 130% |
| Align Senior Care | $117 | 132% |
| Angels Baseball Workers Comp | $127 | 143% |
| UnitedHealthcare | $132 - $330 | 148% |
| Interplan | $134 - $839 | 151% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| First Health | $144 - $1,019 | 162% |
| Orange County Preferred Provider Organization | $144 - $899 | 162% |
| Athens Administrators | $149 | 168% |
| Capp Care | $149 - $899 | 168% |
| Cigna | $149 - $199 | 168% |
| Corvel | $149 - $899 | 168% |
| Marriot Intl | $149 | 168% |
| Non Contracted Workers Comp | $149 | 168% |
| Netcare Life And Health Insurance | $153 - $300 | 172% |
| Advance Clinical Research Institute | $184 - $360 | 207% |
| Medical Acquisition Company | $245 - $480 | 276% |
| Affiliated Doctors Of Orange County | $275 - $540 | 309% |
| Healthcare Partners Commercial | $330 - $647 | 371% |
| Huntington Memorial Hospital | $330 - $647 | 371% |
| Genesis Healthcare Ipa Ancillary | $367 - $719 | 413% |
| Affiliated Health Fund | $428 - $839 | 481% |
| Allnet Preferred Provider | $428 - $839 | 481% |
| Care First | $428 - $839 | 481% |
| Private Healthcare Systems | $428 - $839 | 481% |
| Choicecare | $459 - $899 | 516% |
| Multiplan Inc | $459 - $899 | 516% |
| National Provider Network | $490 - $959 | 551% |
| Three Rivers Providers Network | $490 - $959 | 551% |
| Health Payors Organization | $551 - $1,079 | 620% |
| Non Contracted Commercial | $612 - $1,199 | 688% |