CMS Price Transparency Data

X-ray, ankle

Facility: Ochsner University Hospital and Clinics

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $85
Cash Discount Price: $56
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Ochsner University Hospital and Clinics is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 2390 West Congress, Lafayette, LA.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $56 (63%)

Insurance Median: $85 (96%)

Cash: $56 (63% of Medicare)

Ins. Median: $85 (96% 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	$43 - $234	48%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$43 - $85	48%
Healthy Blue (Healthy Louisiana)	$43 - $85	48%
Humana	$43 - $85	48%
Louisiana Healthcare Connections (Healthy Louisiana)	$43 - $85	48%
UnitedHealthcare	$43 - $273	48%
Blue Cross Blue Shield	$51 - $120	57%
Verity Commercial And First Choice Network	$75 - $150	84%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$80 - $120	90%
Medicare (plans)	$80 - $120	90%
Ochsner Health Plan	$80 - $120	90%
Tricare	$80 - $120	90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$82 - $124	92%
Wellcare Of Louisiana	$84 - $126	94%
Cigna	$107 - $160	120%
Zelis	$203 - $305	228%

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 $56.
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 Ochsner University Hospital and Clinics 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.