CMS Price Transparency Data

X-ray, ankle

Facility: Barnes Jewish Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $233
Cash Discount Price: $215
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Barnes Jewish Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.62x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$215

Average discount available for prompt cash payment at this facility.

Insurance Median

$233

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: $215 (242%)

Insurance Median: $233 (262%)

Cash: $215 (242% of Medicare)

Ins. Median: $233 (262% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 262% of the Medicare baseline (a markup of 162%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$58 - $312	65%
Humana	$74	83%
Consociate [478]	$77	87%
Sarah Bush Lincoln [636]	$77	87%
Cigna	$86 - $287	97%
Aetna	$110 - $269	124%
Allied Benefits [498]	$110 - $267	124%
Coresource [497]	$110	124%
Fmh Benefit Service Inc [222]	$110	124%
Mail Handlers [495]	$110	124%
Apwu Health Plan [216]	$119	134%
Nalc Health Benefit Plan [242]	$119	134%
Priority Health [648]	$119	134%
Healthlink [225]	$174 - $271	196%
Cox Health Systems Insurance Company [220]	$197 - $233	222%
Health Alliance [224]	$197	222%
Hope Trust [806]	$208	234%
Healthscope Benefits [258]	$219 - $380	246%
Med-Pay [480]	$233 - $269	262%
Unicare [568]	$233 - $271	262%
First Health Commercial [734]	$267	300%
UnitedHealthcare	$267 - $380	300%
Beechstreet [551]	$269	303%
Detego Health [868]	$269	303%
Health Systems Inc [620]	$269	303%
Healthcare Sol Mercy [609]	$269	303%
Multiplan Commercial [737]	$269	303%
Multiplan [240]	$269	303%
Phcs [244]	$269 - $287	303%
Preferred Health Professionals [561]	$271	305%
Medica [661]	$287	323%
Hfn [563]	$305	343%

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 $215.
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 Barnes Jewish 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.