CMS Price Transparency Data

X-ray, ankle

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $295
Cash Discount Price: $709
vs. Medicare Baseline: 3.32x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Healthone Spalding Rehabilitation is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $709. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.32x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$709

Average discount available for prompt cash payment at this facility.

Insurance Median

$295

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: $709 (797%)

Insurance Median: $295 (332%)

Cash: $709 (797% of Medicare)

Ins. Median: $295 (332% 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 332% of the Medicare baseline (a markup of 232%). 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
Vail Health	$70 - $153	79%
United	$95 - $453	107%
Blue Cross Blue Shield	$96 - $684	108%
Cigna	$123 - $644	138%
Aetna	$137 - $510	154%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $906	164%
Kaiser	$152 - $600	171%
Rocky Mountain Health Plan	$182	205%
Western Plains Community Health	$297 - $654	334%
Triwest Health Alliance	$366 - $805	412%
Prime Health	$412 - $906	463%

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 $709.
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 HCA Healthone Spalding Rehabilitation 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.