CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Delano

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $203
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Delano is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.28x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $76 (85%)
Insurance Median: $203 (228%)
Cash: $76 (85% of Medicare)
Ins. Median: $203 (228% 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 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $14 - $999 16%
Dignty Hlth Mcal Op Only $36 40%
Kaiser Medi-Cal Ip/Op Only $36 40%
Medi-Cal $36 40%
Universal Care Mcal $36 40%
Healthnet Medi-Cal $43 48%
Kern Health System Mcal $47 53%
Blue Shield Epn - All Other Plans $55 - $263 62%
Bakersfield Fam Med Grp-All Plans $112 126%
Healthnet Mcr Adv $112 126%
Kern Mcr Adv Dual Dnsp-All Other Plans $112 126%
Medicare (plans) $112 - $179 126%
Tricare $112 126%
UnitedHealthcare $112 - $864 126%
Universal Care Mcr- All Other Plans $112 126%
Coventry- All Plans $151 - $720 170%
Blue Shield Non-Epn $164 - $780 184%
Healthnet- All Other Plans $170 - $808 191%
County Of Kern Network - All Plans $176 - $840 198%
Gem Care- All Plans $176 - $840 198%
Aetna $186 - $886 209%
Foundation For Medical Care Of Kern County - All P $189 - $900 213%
Kaiser Comm Ip/Op Only- All Other Plans $193 217%
Ah Employee Health Plan - All Plans $201 226%
Cigna $202 - $960 227%
Western Growers - All Plans $204 - $972 229%
Centivo - All Plans $252 283%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals