CMS Price Transparency Data

X-ray, ankle

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $45
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Cincinnati Children's Hospital Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $76 (85%)
Insurance Median: $45 (51%)
Cash: $76 (85% of Medicare)
Ins. Median: $45 (51% 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
Aetna $6 - $233 7%
Blue Cross Blue Shield $6 - $241 7%
Caresource_In $6 - $24 7%
Humana $6 - $89 7%
Mhs_In $6 - $23 7%
Passport_Ky $6 - $64 7%
United_Health_Care_Ky $6 - $65 7%
Wellcare_Ky $6 - $64 7%
Caresource_Oh $11 - $85 12%
Amerihealth_Caritas_Oh $12 - $92 13%
Buckeye_Oh $12 - $97 13%
Molina_Oh $12 - $93 13%
United_Health_Care_Oh $14 - $89 16%
Caresource_Oh_Insurance $26 - $118 29%
Medical_Mutual_Of_Ohio_Insurance $29 - $233 33%
Parkview_Signature_Care_Insurance $33 - $191 37%
Point_Comfort_Insurance $35 - $159 39%
Margaret_Mary_Health_Insurance $36 - $191 40%
United_Health_Care_Insurance $41 - $220 46%
Beechstreet_Insurance $44 - $240 49%
Cigna $44 - $233 49%
Health_Ohio_Network_Insurance $49 - $233 55%
Custom_Design_Benefits_Insurance $51 - $233 57%
Health_Smart_Preferred_Insurance $51 - $233 57%
Medical_Benefit_Administrators_Insurance $51 - $233 57%
Ohio_Health_Choice_Insurance $51 - $233 57%
Private_Health_Care_Systems_Insurance $52 - $235 58%
First_Health_Group_Insurance $53 - $240 60%
Health_Link_Insurance $53 - $240 60%
Evolutions_Health_Care_Systems $54 - $245 61%
Galaxy_Health_Insurance $54 - $245 61%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens