CMS Price Transparency Data

X-ray, ankle

Facility: Saratoga Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $37
Cash Discount Price: $51
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Saratoga Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $51 (57%)

Insurance Median: $37 (42%)

Cash: $51 (57% of Medicare)

Ins. Median: $37 (42% 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	$9 - $317	10%
Medicaid / KanCare	$13 - $34	15%
Cdphp	$23 - $122	26%
Blue Cross Blue Shield	$25 - $388	28%
Fidelis	$25 - $122	28%
Medicare (plans)	$25 - $34	28%
Blue Shield	$28 - $111	31%
Mvp	$30 - $57	34%
Hamaspik	$31 - $142	35%
Tricare	$32 - $34	36%
UnitedHealthcare	$32 - $581	36%
Emblem Health Ghi	$34 - $37	38%
Blue Shield Highmark	$40 - $95	45%
Empire Plan Nyship	$45 - $388	51%
Cigna	$47 - $57	53%
Mvp Commercial	$52 - $452	58%
Nascentia Health Options	$52	58%
Emblem	$53 - $104	60%
Mvp Essential Plan	$54 - $109	61%
Mvp Govt Programs	$54	61%
Multiplan	$56 - $549	63%
Magnacare	$68 - $614	76%

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 $51.
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 Saratoga 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.