CMS Price Transparency Data

X-ray, ankle

Facility: Penn Presbyterian Medical Center

Billing Code: 73610 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 1.2× the $89 Medicare rate · typically $51–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $1 under the fair price · 1.2× Medicare
Medicare pays $89 Fair price $104 This hospital $103 Cash price $919 Hospital's list price $919

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $103

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, ankle is about $104 (about 1.2× the $89 Medicare rate). Penn Presbyterian Medical Center charges insurers about $103, or about $919 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $37 - $919 42%
Blue Cross Blue Shieldmajor $32 - $919 36%
Aetnamajor $96 - $919 108%
Cignamajor $77 - $94 87%
Humanamajor $94 - $735 106%
Clover Health $98 110%
Geisinger $94 - $289 106%
Health Net $551 620%
HealthPartners $27 - $919 30%
Oscar Health $155 174%
UPMC Health Plan $28 - $919 31%
+ 37 smaller / regional plans $24 - $919
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals