CMS Price Transparency Data

X-ray, ankle

Facility: Adventist Health Castle

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $149
Cash Discount Price: $100
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Adventist Health Castle is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.68x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $100 (112%)

Insurance Median: $149 (168%)

Cash: $100 (112% of Medicare)

Ins. Median: $149 (168% 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
Alohacare Mcr Adv Profee Only	$9	10%
Alohacare Quest Mcaid - All Other Plans	$9 - $147	10%
Devoted Hlth Mcr Adv - All Plans	$9 - $108	10%
Kfh Mcr Adv	$9 - $103	10%
Medicare (plans)	$9 - $103	10%
UnitedHealthcare	$9 - $17	10%
Health Alliance - All Plans	$12 - $472	13%
Multiplan Hmn - All Plans	$12 - $51	13%
State Of Hi Nonprofit - All Plans	$19 - $1,032	21%
First Health Ppo - All Plans	$27 - $555	30%
Medicaid / KanCare	$29 - $590	33%
Ohana Health Plan - All Plans	$29 - $105	33%
Pacific Admin Ppo - All Plans	$29 - $375	33%
Hwmg/Hmaa - All Plans	$33 - $434	37%
Hmsa Hmo	$35	39%
Hmsa Ppo - All Other Plans	$35	39%
Mdx Hawaii Ppo - All Plans	$53 - $471	60%
Kfh - All Other Plans	$85 - $502	96%
Uni Health Alliance - All Plans	$93 - $550	105%

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 $100.
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 Adventist Health Castle 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.