CMS Price Transparency Data

X-ray, ankle

Facility: Jersey Shore University Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $249
Cash Discount Price: $97
vs. Medicare Baseline: 2.80x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Jersey Shore University Medical Center is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.80x the Medicare baseline. Located in 1945 Rte 33, Neptune, NJ.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$249

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: $97 (109%)

Insurance Median: $249 (280%)

Cash: $97 (109% of Medicare)

Ins. Median: $249 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Karna	$15 - $68	17%
UnitedHealthcare	$39 - $287	44%
Amerihealth	$57 - $58	64%
Aetna	$66 - $398	74%
Clover	$91	102%
Blue Cross Blue Shield	$97	109%
Vaccn	$97	109%
Wellcare	$97	109%
Cigna	$101 - $406	114%
United Community/Americhoice	$102	115%
Seoul Medical Group	$117	132%
Oxford	$249 - $287	280%
Qualcare	$295 - $461	332%
Horizon	$367 - $508	413%
Beacon	$381	429%
Bergen Risk	$381	429%
Brighton Health Plan	$406	457%
Activecare First McO	$432	486%
Multiplan - PHCS	$432	486%

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 $97.
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 Jersey Shore University Medical Center 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.