CMS Price Transparency Data

X-ray, ankle

Facility: St Louis Childrens Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $455
Cash Discount Price: $367
vs. Medicare Baseline: 5.12x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at St Louis Childrens Hospital is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.12x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$367

Average discount available for prompt cash payment at this facility.

Insurance Median

$455

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: $367 (413%)

Insurance Median: $455 (512%)

Cash: $367 (413% of Medicare)

Ins. Median: $455 (512% 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 512% of the Medicare baseline (a markup of 412%). 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
Healthlink [225]	$297 - $462	334%
Cigna	$302 - $332	340%
Apwu Health Plan [216]	$332	373%
Consociate [478]	$332	373%
Nalc Health Benefit Plan [242]	$332	373%
Priority Health [648]	$332	373%
Sarah Bush Lincoln [636]	$332	373%
Blue Cross Blue Shield	$337 - $520	379%
Allied Benefits [498]	$355 - $483	399%
Hope Trust [806]	$355	399%
Cox Health Systems Insurance Company [220]	$398 - $453	448%
Med-Pay [480]	$398 - $459	448%
Unicare [568]	$398 - $462	448%
Health Alliance [224]	$428	481%
Healthscope Benefits [258]	$436 - $490	490%
UnitedHealthcare	$436 - $455	490%
Aetna	$455 - $483	512%
First Health Commercial [734]	$455	512%
Humana	$456	513%
Beechstreet [551]	$459	516%
Detego Health [868]	$459	516%
Health Systems Inc [620]	$459	516%
Healthcare Sol Mercy [609]	$459	516%
Multiplan Commercial [737]	$459	516%
Multiplan [240]	$459	516%
Phcs [244]	$459 - $490	516%
Preferred Health Professionals [561]	$462	520%
Coresource [497]	$483	543%
Fmh Benefit Service Inc [222]	$483	543%
Mail Handlers [495]	$483	543%
Medica [661]	$490	551%
Hfn [563]	$520	585%

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 $367.
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 St Louis Childrens 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.