CMS Price Transparency Data

X-ray, ankle

Facility: Southwest General Health Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $94
Cash Discount Price: $361
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Southwest General Health Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.06x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.

Cash / Self-Pay

$361

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $361 (406%)

Insurance Median: $94 (106%)

Cash: $361 (406% of Medicare)

Ins. Median: $94 (106% 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
Buckeye	$21 - $110	24%
Caresource	$21 - $94	24%
Humana	$21 - $188	24%
Molina	$21 - $110	24%
UnitedHealthcare	$21 - $260	24%
Amerihealth Caritas	$22 - $94	25%
Medical Mutual	$35 - $38	39%
Medical Mutual-Ohio	$35 - $48	39%
Blue Cross Blue Shield	$48 - $94	54%
Valor Health	$48	54%
Healthsmart	$154	173%
Health Design Plus	$178	200%
Clarity Health	$192	216%
Healthspan	$192	216%
Healthsmart Preferred	$216	243%
Ohio Health Choice Plus	$233	262%
Aetna	$260	292%
Summacare	$260	292%
Cigna	$263	296%
Coventry	$332	373%
First Health	$332	373%
Ohio Health Choice	$372	418%
Private Healthare Systems	$385	433%

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 $361.
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 Southwest General Health 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.