CMS Price Transparency Data

X-ray, ankle

Facility: Trinity Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $28
Cash Discount Price: $62
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Trinity Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.31x the Medicare baseline. Located in 60 Easter Avenue, Weaverville, CA.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $62 (70%)

Insurance Median: $28 (31%)

Cash: $62 (70% of Medicare)

Ins. Median: $28 (31% 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
Partnership Health Plan Of California Mcd Rep	$7 - $101	8%
Aetna	$8 - $253	9%
Medicare (plans)	$8 - $289	9%
Triwest	$8 - $280	9%
Blue Cross Blue Shield	$9 - $399	10%
UnitedHealthcare	$9 - $402	10%
Cigna	$10 - $351	11%
Blue Shield Of Ca	$11 - $367	12%

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 $62.
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 Trinity Hospital 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.