CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Ukiah Valley

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $87
Cash Discount Price: $21
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Ukiah Valley is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $21 (24%)

Insurance Median: $87 (98%)

Cash: $21 (24% of Medicare)

Ins. Median: $87 (98% 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
Ah Employee Health Plan - All Plans	$9 - $216	10%
Blue Shield Mcr Adv	$9 - $120	10%
Kaiser Mcr Adv	$9 - $120	10%
Tricare	$9 - $120	10%
Blue Shield Epn-All Other Plans	$11 - $539	12%
Cigna	$11 - $1,104	12%
UnitedHealthcare	$11 - $1,183	12%
Blue Shield Non-Epn	$12 - $546	13%
Healthnet-All Plans	$12 - $809	13%
Western Growers-All Plans	$13 - $594	15%
Mendocino Lcc District-All Plans	$21 - $920	24%
Aetna	$22 - $165	25%
Kaiser Medi-Cal	$25 - $36	28%
Medi-Cal	$25 - $36	28%
Kaiser-All Other Plans	$26 - $1,132	29%
Three Rivers-All Plans	$30 - $1,274	34%
Foundation For Medical Care-All Plans	$52 - $1,061	58%
Networks By Design-All Plans	$56 - $1,132	63%
Phcs Multiplan-All Plans	$56 - $1,132	63%
Interplan-All Plans	$57 - $1,160	64%
Beech Street-All Plans	$60 - $1,203	67%
Choice Care-All Plans	$60 - $1,203	67%
Health Mgmt Network-All Plans	$60 - $1,203	67%
Blue Cross Blue Shield	$153 - $205	172%

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 $21.
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 Ukiah Valley 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.