CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Tehachapi Valley

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $123
Cash Discount Price: $44
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Tehachapi Valley is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.38x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$44

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $44 (49%)

Insurance Median: $123 (138%)

Cash: $44 (49% of Medicare)

Ins. Median: $123 (138% 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
Aetna	$8 - $123	9%
Ah Employee Health Plan - All Plans	$9 - $636	10%
Healthnet Mcare	$9 - $228	10%
Network Providers- All Plans	$9 - $292	10%
Tricare	$9 - $228	10%
UnitedHealthcare	$9 - $588	10%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$9 - $228	10%
Cigna	$10 - $937	11%
Coventry- All Plans	$10 - $1,080	11%
Oscar Health Plan- All Plans	$10 - $142	11%
Blue Shield Epn- All Other Plans	$11 - $508	12%
Blue Shield Non-Epn	$12 - $600	13%
Healthnet- All Other Plans	$12 - $924	13%
Centivo - All Plans	$13 - $513	15%
Western Grwrs/Pinnacle - All Plans	$13 - $504	15%
Medicare (plans)	$22 - $228	25%
Medi-Cal	$25 - $36	28%
Universal Ipa Mcal Op/Profee Only	$25 - $36	28%
Kaiser Medi-Cal Ip/Op Only	$36	40%
Bc Mcal	$37	42%
Kaiser Ip/Op Only- All Other Plans	$38 - $392	43%
Healthnet Medi-Cal	$44	49%
Khs-Kern Hlth Systm Mcal	$47	53%
Klhp-Kern Legacy Epo -All Other Plans	$58 - $600	65%
Blue Cross Blue Shield	$60 - $692	67%

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 $44.
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 Tehachapi 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.