CMS Price Transparency Data

X-ray, ankle

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $280
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Arthur G James Cancer Hospital and Research Institute is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.15x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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%)

Insurance Median: $280 (315%)

Ins. Median: $280 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Healthspan	$106 - $5,413	119%
Medigold	$106	119%
Upper Ohio Valley	$106 - $5,413	119%
Medicare (plans)	$107 - $5,467	120%
Humana	$108 - $5,521	121%
Medicaid / KanCare	$122 - $168	137%
Aetna	$128 - $5,388	144%
United	$134 - $440	151%
Caresource	$159 - $238	179%
Mmo	$159 - $408	179%
Molina	$159 - $5,388	179%
Odrc	$168 - $196	189%
Blue Cross Blue Shield	$177 - $458	199%
Buckeye Community	$178 - $237	200%
Amerihealth	$180 - $260	202%
Osu Health Plan	$221 - $320	249%
Lifetrac	$314 - $328	353%
Ohio Ppo	$317	357%
Ohiohealth	$348 - $353	391%
Cigna	$350 - $431	394%
Frontpath	$386	434%
Healthsmart	$435	489%
Multiplan	$449	505%
Ohio Dept Of Health	$4,289	4824%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.