CMS Price Transparency Data

X-ray, ankle

Facility: Kern Valley Healthcare District

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $136
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Kern Valley Healthcare District is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.53x the Medicare baseline. Located in 6412 Laurel Ave, Lake Isabella, CA.
Cash / Self-Pay
$136

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $136 (153%)
Insurance Median: $136 (153%)
Cash: $136 (153% of Medicare)
Ins. Median: $136 (153% 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
Medi-Cal $36 40%
Healthnet (Aim) $52 58%
Healthnet Mcal $52 58%
Blue Shield - All Plans $103 116%
UnitedHealthcare $116 130%
Healthnet Med Adv $136 153%
Humana $136 153%
Brand New Day - All Plans $155 174%
Tricare $452 508%
Aetna $491 552%
Healthnet- All Other Plans $510 574%
Cigna $549 617%
Blue Cross Blue Shield $646 727%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6412 Laurel Ave, Lake Isabella, CA 93240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals