CMS Price Transparency Data

X-ray, ankle

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $61
Cash Discount Price: $378
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Saint Joseph's Hospital of Atlanta, Inc is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 5665 Peachtree Dunwoody Road, Atlanta, GA.

Cash / Self-Pay

$378

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $378 (425%)

Insurance Median: $61 (69%)

Cash: $378 (425% of Medicare)

Ins. Median: $61 (69% 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
Aetna	$42 - $90	47%
Blue Cross Blue Shield	$42 - $89	47%
Cigna	$42 - $91	47%
Kaiser	$46	52%
Oscar Health	$53	60%
Humana	$61	69%
Devoted Health	$88	99%
Clover Health	$93	105%
Wellcare	$94	106%
Ambetter / Centene	$187	210%
UnitedHealthcare	$200	225%

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 $378.
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 Saint Joseph's Hospital of Atlanta, Inc 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.