CMS Price Transparency Data
X-ray, ankle
Facility: Diley Ridge Medical Center
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $344
- Cash Discount Price: $399
- vs. Medicare Baseline: 3.87x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Diley Ridge Medical Center is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.87x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$399
Average discount available for prompt cash payment at this facility.
Insurance Median
$344
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: $399 (449%)
Insurance Median: $344 (387%)
Cash: $399 (449% of Medicare)
Ins. Median: $344 (387% 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 387% of the Medicare baseline (a markup of 287%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Medicare (plans) | $74 - $88 | 83% |
| Aetna | $82 - $737 | 92% |
| Blue Cross Blue Shield | $82 - $737 | 92% |
| Hospice Mount Carmel | $84 | 94% |
| Oscar | $84 | 94% |
| UnitedHealthcare | $84 - $323 | 94% |
| The Health Plan | $86 - $484 | 97% |
| Enterprise Group Planning | $162 | 182% |
| Custom Design Benefits | $175 | 197% |
| Quality Care Partners | $190 | 214% |
| American Postal Workers Secondary | $193 | 217% |
| Cigna | $193 | 217% |
| Health Partners | $193 | 217% |
| Healthgram | $193 | 217% |
| Mvp | $193 | 217% |
| Priority Health | $193 | 217% |
| Geha | $220 - $331 | 247% |
| Gravie Admin Services | $220 - $331 | 247% |
| Healthez | $220 - $331 | 247% |
| Meritain | $220 - $331 | 247% |
| Webtpa | $220 - $331 | 247% |
| Access Health | $229 - $344 | 258% |
| Acclaim | $229 - $344 | 258% |
| Administrative Concepts | $229 - $344 | 258% |
| Allegeant | $229 - $344 | 258% |
| Allied Benefit Systems | $229 - $344 | 258% |
| American Family | $229 - $344 | 258% |
| American Healthcare Alliance | $229 - $344 | 258% |
| American National | $229 - $344 | 258% |
| American Republic | $229 - $344 | 258% |
| Amerihealth | $229 - $344 | 258% |
| Aultcare | $229 - $344 | 258% |
| Automated Benefit Services | $229 - $344 | 258% |
| Auxiant | $229 - $344 | 258% |
| Benefit Administrative Systems,Llc | $229 - $344 | 258% |
| Boon Chapman | $229 - $344 | 258% |
| Cam Administrative Services | $229 - $344 | 258% |
| Christian Brother Services | $229 - $344 | 258% |
| Christian Brothers Holy Cross | $229 - $344 | 258% |
| Claimchoice Adminstrators | $229 - $344 | 258% |
| Comprehensive Benefits | $229 - $344 | 258% |
| Continental Life Insurance | $229 - $344 | 258% |
| Coventry | $229 - $344 | 258% |
| Custom Benefit Administrators | $229 - $344 | 258% |
| Cypress Benefit Administrators | $229 - $344 | 258% |
| Employee Benefit Concepts | $229 - $344 | 258% |
| Employee Benefit Management | $229 - $344 | 258% |
| Forest County Potawatomi | $229 - $344 | 258% |
| Freedom Life Insurance Company | $229 - $344 | 258% |
| Group Administrators | $229 - $344 | 258% |
| Group Marketing Services | $229 - $344 | 258% |
| Group Pension Administrators | $229 - $344 | 258% |
| Guardian | $229 - $344 | 258% |
| Health America | $229 - $344 | 258% |
| Health Choices | $229 - $344 | 258% |
| Healthcare Management Admin | $229 - $344 | 258% |
| Insight | $229 - $344 | 258% |
| Intercare | $229 - $344 | 258% |
| Jfp Benefit Management | $229 - $344 | 258% |
| Jp Farley Corporation | $229 - $344 | 258% |
| Key Benefit Administrator | $229 - $344 | 258% |
| Liberty Union Life Assurance Co | $229 - $344 | 258% |
| Lucent Health | $229 - $344 | 258% |
| Luminare Health | $229 - $344 | 258% |
| Magnacare | $229 - $344 | 258% |
| Medcost | $229 - $344 | 258% |
| Mutual Health Services | $229 - $344 | 258% |
| Mutual Of Omaha | $229 - $344 | 258% |
| Ncas | $229 - $344 | 258% |
| Nippon Life Ins | $229 - $344 | 258% |
| Nova | $229 - $344 | 258% |
| Painters Union Insurance Fund | $229 - $344 | 258% |
| Physicians Mutual | $229 - $344 | 258% |
| Plumbers Local 98 Insurance Fund | $229 - $344 | 258% |
| Prairie States | $229 - $344 | 258% |
| Preferred One | $229 - $344 | 258% |
| Primary Physician Care | $229 - $344 | 258% |
| Professional Benefit Administrators | $229 - $344 | 258% |
| Secureone Preferred United Plans | $229 - $344 | 258% |
| Siho Insurance Services | $229 - $344 | 258% |
| Sisco Benefits | $229 - $344 | 258% |
| The Loomis Company | $229 - $344 | 258% |
| Trustmark Small Business Benefits | $229 - $344 | 258% |
| U Of M Health Plan | $229 - $344 | 258% |
| Unicare | $229 - $344 | 258% |
| Unified Group Services | $229 - $344 | 258% |
| Us Health And Life | $229 - $344 | 258% |
| Valenz | $229 - $344 | 258% |
| Varipro | $229 - $344 | 258% |
| Wps | $229 - $344 | 258% |
| Rural Carrier Health Benefit Plan | $231 - $347 | 260% |
| Medben | $246 - $553 | 277% |
| Humana | $251 - $737 | 282% |
| First Health | $259 - $388 | 291% |
| Consociate | $300 - $450 | 337% |
| Health Ohio Network | $300 - $450 | 337% |
| Blue Benefit Administrators Of Massachusetts | $313 | 352% |
| Blue Care Network | $313 | 352% |
| Blue Distinction Transplant | $313 | 352% |
| Blue Shield - Ca | $313 | 352% |
| Blue Shield - Id (Regence) | $313 | 352% |
| Blue Shield - Ny Highmark Northeastern | $313 | 352% |
| Blue Shield - Ny Highmark Western | $313 | 352% |
| Blue Shield - Pa (Highmark) | $313 | 352% |
| Blue Shield - Wa (Regence) | $313 | 352% |
| Caresource | $358 - $538 | 403% |
| Healthlink Inc | $368 - $553 | 414% |
| Luminare Health (Detroit) | $368 - $590 | 414% |
| Medical Benefits Mutual | $368 - $553 | 414% |
| Ohio Health Choice | $368 - $553 | 414% |
| Ohio Ppo Connect | $368 - $553 | 414% |
| Osu Not Independent Choice | $368 - $590 | 414% |
| Medical Mutual | $374 - $561 | 421% |
| Medi Share | $392 - $589 | 441% |
| Multiplan | $392 - $589 | 441% |
| Phcs | $392 - $589 | 441% |
| Philadelphia American Life Insurance | $392 - $589 | 441% |
| Ameriben | $393 - $590 | 442% |
| Ohiohealthy | $393 - $590 | 442% |
| Twin Valley Psychiatric | $393 - $590 | 442% |
| Health Smart | $417 - $626 | 469% |
| Bccp | $491 - $737 | 552% |
| Medicaid / KanCare | $491 - $737 | 552% |
| Optima Health | $491 - $737 | 552% |
| Crime Victim Assistance | $632 | 711% |
| Ohio Safe Program | $632 | 711% |