CMS Price Transparency Data

X-ray, ankle

Facility: Saint Vincent Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $34
Cash Discount Price: $496
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Saint Vincent Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.38x the Medicare baseline. Located in 232 West 25Th Street, Erie, PA.

Cash / Self-Pay

$496

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $496 (558%)

Insurance Median: $34 (38%)

Cash: $496 (558% of Medicare)

Ins. Median: $34 (38% 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
Univera	$7 - $43	8%
Amerihealth	$8 - $101	9%
Highmark	$10 - $140	11%
Pennsylvania Health And Wellness	$11 - $40	12%
Geisinger	$12 - $43	13%
UnitedHealthcare	$12 - $2,587	13%
Cigna	$13 - $223	15%
Aetna	$21 - $195	24%
University Of Pittsburgh Medical Center	$22 - $96	25%
Highmark Wholecare	$26 - $102	29%
Jefferson Health Plans	$29 - $41	33%
Martin'S Point	$82 - $96	92%
American Health Plans	$96	108%
Life Pittsburgh	$96	108%
Medicare (plans)	$99	111%
Blue Cross Blue Shield	$101 - $151	114%
Humana	$102	115%
Molina	$104	117%
Medical Mutual	$204	229%

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 $496.
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 Saint Vincent Hospital 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.