CMS Price Transparency Data

X-ray, ankle

Facility: Hillsboro Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $105
Cash Discount Price: $299
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Hillsboro Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.18x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.

Cash / Self-Pay

$299

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $299 (336%)

Insurance Median: $105 (118%)

Cash: $299 (336% of Medicare)

Ins. Median: $105 (118% 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.

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
Care Oregon	$75 - $114	84%
Intercommunity Health Network	$75	84%
Medicare (plans)	$75 - $114	84%
Kaiser Foundation Hospitals	$77 - $283	87%
Pacific Source	$77 - $294	87%
Community Health Plan Of Washington	$97 - $460	109%
Providence Health Plan	$97 - $105	109%
Samaritan Health Plan	$97	109%
Trillium	$97	109%
Humana	$100 - $103	112%
UnitedHealthcare	$103 - $326	116%
Aetna	$104 - $154	117%
Moda	$106 - $348	119%
Health Net Health Plan Of Oregon, Inc.	$111 - $304	125%
Tuality Health	$174	196%
Cigna	$273	307%
Blue Cross Blue Shield	$281	316%
First Choice	$368	414%
Coventry First Health	$391	440%
Molina Exchange	$460	517%

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 $299.
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 Hillsboro Medical Center 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.