CMS Price Transparency Data

X-ray, ankle

Facility: Baptist Hospital of Miami

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $367
Cash Discount Price: $561
vs. Medicare Baseline: 4.13x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Baptist Hospital of Miami is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.13x the Medicare baseline. Located in 8900 N Kendall Dr, Miami, FL.

Cash / Self-Pay

$561

Average discount available for prompt cash payment at this facility.

Insurance Median

$367

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: $561 (631%)

Insurance Median: $367 (413%)

Cash: $561 (631% of Medicare)

Ins. Median: $367 (413% 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 413% of the Medicare baseline (a markup of 313%). 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
Amerigroup	$35 - $53	39%
Medicaid / KanCare	$35 - $58	39%
Sunshine State	$37 - $56	42%
UnitedHealthcare	$37 - $922	42%
Wellcare	$37 - $56	42%
Aetna	$38 - $738	43%
Medicare (plans)	$91 - $123	102%
Blue Cross Blue Shield	$94 - $597	106%
Medica Health Plan	$97	109%
Humana	$99	111%
Avmed	$100 - $454	112%
Leon Medical	$102	115%
Cigna	$104 - $738	117%
Vista	$173	195%
Non Contracted	$295 - $338	332%
Amerihealth	$361 - $415	406%
International	$522 - $599	587%
Dimension Health Plan	$602 - $830	677%
Affordable	$683 - $784	768%
Phcs	$723 - $830	813%
Quality Health	$723 - $830	813%

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 $561.
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 Baptist Hospital of Miami 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.