CMS Price Transparency Data

X-ray, ankle

Facility: Southern Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $87
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Southern Regional Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $86 (97%)
Insurance Median: $87 (98%)
Cash: $86 (97% of Medicare)
Ins. Median: $87 (98% 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
Blue Cross Blue Shield $48 - $87 54%
Humana $72 - $85 81%
Aetna $87 - $809 98%
Americas Choice Provider Network $87 98%
Cigna $87 - $181 98%
Clear Spring Health Plan $87 98%
Corvel $87 98%
Georgia Workers’ Compensation $87 98%
Medicare (plans) $87 98%
Multiplan $87 98%
Novanet $87 98%
Prime Health Services $87 98%
Provider Select $87 98%
Riverwood Behavioral Health $87 - $109 98%
Three Rivers $87 98%
Tricare $87 98%
UnitedHealthcare $87 98%
Caresource $89 - $152 100%
Devoted Health $89 100%
Peach State $89 - $104 100%
Sonder Health Plan $91 102%
Wellcare $91 102%
Oscar Health Plan $113 127%
Employer Direct Healthcare $122 137%
Centurion $130 146%
Naphcare $135 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals