CMS Price Transparency Data

X-ray, ankle

Facility: North Shore Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $170
  • Cash Discount Price: $2,542
  • vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at North Shore Medical Center is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,542. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.91x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$2,542

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $2,542 (2859%)
Insurance Median: $170 (191%)
Cash: $2,542 (2859% of Medicare)
Ins. Median: $170 (191% 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.

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
Aetna $14 - $2,197 16%
Dimension Health Wc $30 34%
Workers Compensation $30 34%
Avmed Broad Network $34 38%
Humana $36 - $170 40%
Medicaid / KanCare $36 - $3,051 40%
UnitedHealthcare $36 - $85 40%
Healthsun Health Plans $38 - $89 43%
Imagine Health $45 51%
Employer Direct Healthcare $46 - $87 52%
Self Pay/Uninsured $46 - $107 52%
Oscar Health Plan Hix $53 60%
Veterans Administration Mill Bill $60 67%
Medicare (plans) $77 - $3,051 87%
Devoted Health $85 96%
Leon Health Inc $85 96%
Tricare $86 97%
Hospice Other $87 98%
Veterans Administration Vaccn $87 98%
Cigna $89 - $1,525 100%
Longevity Health Plan $91 102%
Florida Pace Centers $102 115%
Bright Health Management Commercial $104 117%
Centurion Prison $107 120%
Bc/Bs Myblue Hmo Hix $144 162%
Avmed Exchange $152 171%
Bc/Bs Of Fl Simplyblue $152 171%
Ambetter / Centene $160 180%
Molina Marketplace Program Exchange $165 186%
Auto Insurance $173 195%
Avmed Select Network $177 199%
Amerihealth Caritas Next Exchange $186 209%
Bc/Bs Of Fl Network Blue $190 214%
Bc/Bs Of Fl Health Options Hmo $193 217%
Bc/Bs Of Fl Ppo $203 228%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 237%
Bc/Bs Of Fl Phs $1,054 - $1,582 1185%
Magellan Behavioral Health $1,220 - $1,831 1372%
Dimensions International $1,322 - $1,983 1487%
First Health $1,383 - $2,075 1556%
Dimension Health Ppo $1,525 - $2,288 1715%
Beacon Health Strategies Commercial $2,034 - $3,051 2288%
Commercial Non-Contracted $2,034 - $3,051 2288%
Self Pay - Mcd Pending 100 Percent $2,034 - $3,051 2288%
Single Case Agreement $2,034 - $3,051 2288%
United Behavioral Health Psych $2,034 - $3,051 2288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals