CMS Price Transparency Data

X-ray, ankle

Facility: University Hospitals Ahuja Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $255
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 2.87x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at University Hospitals Ahuja Medical Center is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.87x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$255

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: $382 (430%)
Insurance Median: $255 (287%)
Cash: $382 (430% of Medicare)
Ins. Median: $255 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Aetna $68 - $145 76%
Blue Cross Blue Shield $82 - $342 92%
Cigna $82 - $344 92%
Devoted Health $82 92%
Humana $82 92%
Medical Mutual Of Ohio $82 - $265 92%
Molina $82 92%
Primetime Health Plan $82 92%
Summacare $82 - $260 92%
The Health Plan $82 - $336 92%
UnitedHealthcare $82 - $348 92%
Wellcare By Allwell $82 92%
Paramount $84 94%
Perennial Advantage Of Ohio $86 97%
Valor Health Plans $86 97%
University Health Employee Plan (Contigo) $88 99%
Ambetter / Centene $147 165%
Caresource $147 165%
Amish Aid Community Plan $234 263%
Amish Church Fund And Workers Aid Plan $234 263%
Buckeye Plain Ministries $234 263%
Clarity $244 274%
Jp Farley $244 274%
Christian Healthcare Ministries $254 286%
Immergrun $254 286%
Sunrise Plan Communities $254 286%
Aultcare $280 315%
Healthsmart $331 372%
Ohio Health Choice $331 - $458 372%
Medical Mutual Traditional/Health Ohio $356 400%
Beech Street $407 - $458 458%
Ohio Preferred Network $407 - $458 458%
First Health $422 475%
Century Health Network $433 487%
Private Healthcare System $438 493%
Configurenet $458 515%
Fortified Provider Network $458 515%
Multiplan $458 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals