CMS Price Transparency Data

X-ray, ankle

Facility: Saint Joseph Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $198
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Saint Joseph Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.23x the Medicare baseline. Located in 1375 E 19Th Ave, Denver, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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%)

Insurance Median: $198 (223%)

Ins. Median: $198 (223% 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 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser Perm Hmo	$84 - $192	94%
Select Health	$88	99%
UnitedHealthcare	$88 - $265	99%
Aetna	$96 - $410	108%
Geha	$105 - $265	118%
Kaiser Self Funded	$105 - $192	118%
Preferred One	$105 - $182	118%
Kaiser Perm Ppo/Pos	$107 - $198	120%
Allegiance	$114	128%
Cigna	$114 - $457	128%
Kaiser Mrp	$114	128%
Kaiser Snp	$114	128%
Blue Cross Blue Shield	$182 - $372	205%
Humana	$192	216%
Denv Hlth Med Plan	$230	259%
Cofinity	$329	370%
First Health Network	$329	370%
Private Hlthcare Sys	$342	385%
Multiplan Inc	$384	432%
Midlands Choice	$443	498%

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 $X.
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 Saint Joseph 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.