CMS Price Transparency Data

X-ray, ankle

Facility: Cleveland Clinic

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $74
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Cleveland Clinic is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.83x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $365 (411%)
Insurance Median: $74 (83%)
Cash: $365 (411% of Medicare)
Ins. Median: $74 (83% 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.

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
Summacare $5 - $268 6%
Aetna $8 - $636 9%
Blue Cross Blue Shield $8 - $477 9%
Cigna $8 - $509 9%
Communicare $8 - $86 9%
Devoted Health $8 - $82 9%
Humana $8 - $478 9%
The Health Plan $8 - $350 9%
United $8 - $182 9%
UnitedHealthcare $8 - $407 9%
Upmc $8 - $382 9%
Valor $8 - $82 9%
Perennial Health $9 - $88 10%
Pphp $9 - $90 10%
Zing Health $9 - $90 10%
Cc Ehp $15 - $351 17%
Oscar $20 - $216 22%
Buckeye $22 - $62 25%
Caresource $22 - $59 25%
Paramount $22 - $61 25%
Amerihealth $23 26%
Molina $23 - $62 26%
Mmo $26 - $445 29%
Ohcp $29 - $273 33%
Ohio Healthy $30 - $393 34%
Aultcare $32 - $275 36%
Amish Community Aid Plan $33 - $286 37%
Omas $37 - $318 42%
Healthsmart $41 - $350 46%
Phphi $44 - $382 49%
Clarity Health $48 - $413 54%
Gms $52 - $445 58%
Quality Care Partners $52 - $445 58%
Consociate Health $56 - $477 63%
United Bh $65 73%
Multiplan $67 - $572 75%
Three Rivers $67 - $572 75%
Usa Managed Care $67 - $572 75%
Php $337 379%
Medical Benefit Corp $393 442%
Parkview Health Plan $393 442%
Community Health Alliance $450 506%
Frontpath $506 569%
Managed Care Services $506 569%
Tertiary Care Network $506 569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals