CMS Price Transparency Data

X-ray, ankle

Facility: Physicians Care Surgical Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $1,828
  • Cash Discount Price: $1,463
  • vs. Medicare Baseline: 20.56x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Physicians Care Surgical Hospital is $1,828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,463. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 20.56x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$1,463

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,828

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: $1,463 (1645%)
Insurance Median: $1,828 (2056%)
Cash: $1,463 (1645% of Medicare)
Ins. Median: $1,828 (2056% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2056% of the Medicare baseline (a markup of 1956%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Connecticare $69 78%
Blue Cross Blue Shield $160 - $1,975 180%
Highmark $160 180%
Aetna $208 - $2,048 234%
Ag Administrators $208 234%
Ag Administrators Inc $208 234%
Allied Benefit Systems $208 234%
Allied Benefits Systems $208 234%
Continental Benefits $208 234%
Coventry $208 234%
Geha $208 234%
Healthez $208 234%
Lucent Health $208 234%
Marpai Health $208 234%
Meritain Health $208 234%
Premier Care Network $208 234%
Trustmark $208 234%
Aarp $1,828 2056%
Cigna $1,828 2056%
Devon Health Services $1,828 2056%
Gpm Health And Life Insurance Mc Supplement $1,828 2056%
Humana $1,828 2056%
Ibc Security 65 $1,828 2056%
Keystone 65 Hmo $1,828 2056%
Medicare (plans) $1,828 2056%
Pcsh Aarp $1,828 2056%
Personal Choice 65 $1,828 2056%
Shenandoah Life $1,828 2056%
Tricare $1,828 2056%
Unified Health Services $1,828 2056%
UnitedHealthcare $1,828 - $3,879 2056%
Vibra Health Plan $1,828 2056%
Amerihealth Administrators $1,975 2221%
Amerihealth New Jersey Hmo $1,975 2221%
Carefirst Administrators $1,975 2221%
Empire Plan $1,975 2221%
Horizon Of New Jersey $1,975 2221%
Ibc $1,975 2221%
Ibc - Local $1,975 2221%
Ibc 2021 $1,975 2221%
Ibc Local $1,975 2221%
Independence Administrators $1,975 2221%
Independence Bc $1,975 2221%
Independence Federal $1,975 2221%
Keystone Direct Pos $1,975 2221%
Keystone Healthplan East $1,975 2221%
Keystone Hmo $1,975 2221%
Pcsh Ibc $1,975 2221%
Personal Choice $1,975 2221%
Regence Blue Shield $1,975 2221%
Allsavers $3,879 4363%
Golden Rule Op $3,879 4363%
Oxford Health Plan $3,879 4363%
Oxford Life Insurance Company $3,879 4363%
Surest $3,879 4363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals