CMS Price Transparency Data

X-ray, ankle

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,163
Cash Discount Price: $4,009
vs. Medicare Baseline: 13.08x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at The Medical Center of Aurora & South Hospital is $1,163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,009. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.08x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$4,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,163

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: $4,009 (4509%)

Insurance Median: $1,163 (1308%)

Cash: $4,009 (4509% of Medicare)

Ins. Median: $1,163 (1308% 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 1308% of the Medicare baseline (a markup of 1208%). 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
Blue Cross Blue Shield	$21 - $3,955	24%
United	$138 - $2,405	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $4,811	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$202 - $3,421	227%
Vail Health	$406 - $812	457%
Kaiser	$535 - $1,897	602%
Bright Health	$802 - $1,604	902%
Colorado Program For Children With Special Needs	$1,123 - $2,245	1263%
Aetna	$1,411 - $2,822	1587%
Western Plains Community Health	$1,738 - $3,474	1955%
Northcare	$1,871 - $3,742	2104%
Physician Health Partners	$1,871 - $3,742	2104%
Medical Development International	$2,139 - $4,276	2406%
Prime Health	$2,406 - $4,811	2706%

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 $4,009.
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 The Medical Center of Aurora & South 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.