CMS Price Transparency Data

X-ray, ankle

Facility: Thomas Jefferson University Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $82
Cash Discount Price: $103
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Thomas Jefferson University Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.92x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $103 (116%)

Insurance Median: $82 (92%)

Cash: $103 (116% of Medicare)

Ins. Median: $82 (92% 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
Pa Health_Wellness Chc	$24 - $35	27%
Medicaid / KanCare	$25 - $36	28%
Aetna	$36 - $168	40%
Keystone First	$52 - $75	58%
Ibc	$59 - $93	66%
Cigna	$71 - $86	80%
Jefferson Health Plan Aca Qhp Exchange	$76	85%
Innovage	$80	90%
Inspira Life	$80	90%
Keystone First Vip Choice	$80 - $82	90%
Medicare (plans)	$80 - $93	90%
Point Of Comfort Refugee Resettlement	$80	90%
St Agnes	$80	90%
Tricare	$80	90%
UnitedHealthcare	$80 - $283	90%
Humana	$82	92%
Devoted Health Participation	$84	94%
Provider Partners Health Plan	$86	97%
Upmc Commercial	$86	97%
Allwell Pa Health_Wellness Ma	$89	100%
Perennial	$93	105%
Highmark Wholecare Gateway	$94	106%
Ibc Employee Benefit	$101	114%
Ibc Main Line Health	$101	114%
Ambetter / Centene	$117	132%
Blue Cross Blue Shield	$122	137%
Naphcare	$129 - $153	145%
Geisinger Health Plan	$328	369%

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 $103.
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 Thomas Jefferson University 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.