CMS Price Transparency Data

X-ray, ankle

Facility: St Lucie Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $573
  • Cash Discount Price: $2,204
  • vs. Medicare Baseline: 6.44x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at St Lucie Medical Center is $573. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,204. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.44x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$2,204

Average discount available for prompt cash payment at this facility.

Insurance Median
$573

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: $2,204 (2479%)
Insurance Median: $573 (644%)
Cash: $2,204 (2479% of Medicare)
Ins. Median: $573 (644% 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 644% of the Medicare baseline (a markup of 544%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
United $182 - $992 205%
Freedom Health $190 - $353 214%
Optimum $190 214%
Avmed $287 - $1,102 323%
Simply Healthcare Plans $287 323%
Molina $419 - $595 471%
Corvel Corporation $430 484%
Careworks (Rockport) $439 494%
Prime Health $439 494%
Health Sun Health Plan $469 527%
Sunshine State Health Plan $562 632%
Aetna $661 743%
Humana $815 - $882 917%
United Ppo $970 1091%
Plotkin Health $1,102 1239%
Prime Health Sherriff $1,102 1239%
Multiplan $1,653 - $1,873 1859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals