CMS Price Transparency Data

X-ray, ankle

Facility: Ahn Wexford Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $37
Cash Discount Price: $426
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Ahn Wexford Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 12351 Perry Highway, Wexford, PA.

Cash / Self-Pay

$426

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $426 (479%)

Insurance Median: $37 (42%)

Cash: $426 (479% of Medicare)

Ins. Median: $37 (42% 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
Amerihealth	$8 - $89	9%
Highmark	$10 - $169	11%
Pennsylvania Health And Wellness	$11 - $40	12%
Geisinger	$12 - $43	13%
UnitedHealthcare	$12 - $281	13%
Cigna	$13 - $197	15%
Highmark Wholecare	$26 - $90	29%
Martin'S Point	$82 - $85	92%
American Health Plans	$85	96%
Life Pittsburgh	$85	96%
Medicare (plans)	$87	98%
Aetna	$88 - $258	99%
Humana	$90	101%
Molina	$92	103%
Medical Mutual	$281	316%

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 $426.
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 Ahn Wexford 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.