CMS Price Transparency Data

X-ray, ankle

Facility: Memorial Hospital West

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $450
  • Cash Discount Price: $1,136
  • vs. Medicare Baseline: 5.06x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Memorial Hospital West is $450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,136. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.06x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.
Cash / Self-Pay
$1,136

Average discount available for prompt cash payment at this facility.

Insurance Median
$450

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: $1,136 (1278%)
Insurance Median: $450 (506%)
Cash: $1,136 (1278% of Medicare)
Ins. Median: $450 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Avmed $29 - $732 33%
Aetna $76 - $1,325 85%
Amerihealth Caritas $76 - $380 85%
Community Care Plan $80 - $404 90%
Cigna $84 - $656 94%
Molina $85 - $428 96%
UnitedHealthcare $91 - $951 102%
Health Value Management $94 - $832 106%
Wellcare $96 - $99 108%
Florida Community Care $97 109%
Humana $98 110%
Solis Health Plan $103 116%
Health Sun $104 - $1,784 117%
Florida Pace Centers $105 118%
Align Senior Care $111 125%
Longevity $114 128%
Sunshine $123 - $999 138%
Employers Health Network $151 - $761 170%
Emerging Therapy Solutions $283 - $1,427 318%
Allianz $307 - $1,546 345%
Axis $307 - $1,546 345%
Desjardins Financial Security Life Assurance Company $307 - $1,546 345%
Global Health Claims $307 - $2,021 345%
Global Medical Management $307 - $1,546 345%
Global Reach Health $307 - $1,546 345%
National Healthcare Solutions $307 - $1,546 345%
Plotkin $307 - $1,546 345%
Quality Health Management $307 - $1,546 345%
Quebec Inc $307 - $1,546 345%
Star Healthcare Network $307 - $1,546 345%
World Medical Care $307 - $1,546 345%
Worldwide Managed Care Partners $307 - $1,546 345%
Worldwide Medical Assurance $307 - $1,546 345%
Dimension Health $319 - $1,605 359%
Gallagher Bassett $378 - $1,902 425%
Prime Health Services $401 451%
Corvel $454 511%
Employers Choice Network $454 511%
First Health $454 511%
Broward County $718 - $2,726 808%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 N Flamingo Rd, Pembroke Pines, FL 33028
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals