CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Lodi Memorial

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $46
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Lodi Memorial is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $22 (25%)
Insurance Median: $46 (52%)
Cash: $22 (25% of Medicare)
Ins. Median: $46 (52% 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.

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 - $207 10%
Alignment Health Plan (Ahp)-All Plans $9 - $115 10%
Blue Shield Mcare Adv $9 - $115 10%
Healthnet Mcare $9 - $115 10%
Hp Healthy Kids Pro Fee $9 10%
Hp Of San Joaquin Mcr Adv $9 - $115 10%
Humana $9 - $115 10%
Knnex Health - All Plans $9 - $138 10%
Medcore(Omni Ipa) Op Only- All Plans $9 - $549 10%
Tricare $9 - $115 10%
UnitedHealthcare $9 - $877 10%
Cigna $10 - $1,901 11%
First Health- All Plans $10 - $1,732 11%
Beech Street- All Plans $11 - $1,901 12%
Blue Shield Epn - All Other Plans $11 - $684 12%
Blue Shield Non-Epn $11 - $710 12%
Hp Of San Joaquin Ppo - All Other Plans $11 - $2,006 12%
Multiplan- All Plans $11 - $1,690 12%
Healthnet- All Other Plans $12 - $1,037 13%
Kaiser Commercial - All Other Plans $12 - $866 13%
Kaiser Mcr Adv $12 - $115 13%
Networks By Design- All Plans $12 - $1,056 13%
Western Growers- All Plans $13 - $1,901 15%
Blue Cross Blue Shield $15 - $167 17%
Bc Mcal $16 - $25 18%
Celtic Ins Company - All Plans $25 - $40 28%
Kaiser Mcal $25 - $36 28%
Medi-Cal $25 - $36 28%
Hp Mcal Pro Fee $28 31%
Healthnet Mcal $30 - $52 34%
Hp Of San Joaquin Mcal $30 - $45 34%
Three Rivers Provider Network- All Plans $30 - $1,901 34%
Aetna $35 - $285 39%
Cca Health Plan Mcr Adv- All Plans $115 129%
Bright Health - All Plans $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals