CMS Price Transparency Data

X-ray, ankle

Facility: Jfk University Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $104
Cash Discount Price: $93
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Jfk University Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $93 (105%)

Insurance Median: $104 (117%)

Cash: $93 (105% of Medicare)

Ins. Median: $104 (117% 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
Karna	$15 - $71	17%
Amerihealth	$52 - $57	58%
Aetna	$82 - $427	92%
UnitedHealthcare	$87 - $232	98%
Wellcare	$88 - $98	99%
Horizon	$88 - $472	99%
Vaccn	$88 - $98	99%
Amerigroup	$88 - $98	99%
Clover	$91	102%
United Community/Americhoice	$92 - $102	103%
Blue Cross Blue Shield	$98	110%
Cigna	$104	117%
Seoul Medical Group	$109	123%
Oxford	$232	261%
Intergroup	$356	400%
Activecare First McO	$356	400%
Bergen Risk	$381	429%
Qualcare	$393 - $411	442%
Prime Health	$406	457%
Brighton Health Plan	$406	457%
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 $93.
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 Jfk 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.