CMS Price Transparency Data

X-ray, ankle

Facility: Titusville Area Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $66
Cash Discount Price: $116
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Titusville Area Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.74x the Medicare baseline. Located in 406 West Oak Street, Titusville, PA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $116 (130%)

Insurance Median: $66 (74%)

Cash: $116 (130% of Medicare)

Ins. Median: $66 (74% 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
Upmc For You	$21	24%
Amerihealth	$27	30%
Geisinger	$27	30%
Health Partners	$27	30%
Upmc	$43	48%
Aetna	$66	74%
Allwell Pa Health & Wellness	$66	74%
Blue Cross Blue Shield	$66 - $116	74%
Cigna	$66 - $198	74%
Humana	$66	74%
Medicare (plans)	$66	74%
UnitedHealthcare	$66 - $1,107	74%

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 $116.
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 Titusville Area 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.