CMS Price Transparency Data

X-ray, ankle

Facility: Cleveland Clinic Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $37
Cash Discount Price: $457
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Cleveland Clinic Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$457

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $457 (514%)

Insurance Median: $37 (42%)

Cash: $457 (514% of Medicare)

Ins. Median: $37 (42% 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.

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
Blue Cross Blue Shield	$7 - $455	8%
Avmed	$8 - $191	9%
Doctors Health Plan	$8 - $88	9%
United	$8 - $180	9%
Wellcare	$8 - $88	9%
Clear Spring Health	$9 - $53	10%
Independent Living Systems	$9 - $93	10%
Aetna	$10 - $544	11%
Cigna	$10 - $196	11%
Maritime	$37 - $388	42%
Multiplan	$37 - $598	42%
Clarity Health	$48 - $505	54%
The Legacy Companies	$48 - $505	54%
Consociate Health	$56 - $583	63%
Humana	$88	99%
Devoted Health	$97	109%
Bmi	$387	435%

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 $457.
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 Cleveland Clinic Hospital 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.