CMS Price Transparency Data

X-ray, ankle

Facility: Tristar Stonecrest Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $103
Cash Discount Price: $447
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Tristar Stonecrest Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $447. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.16x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.

Cash / Self-Pay

$447

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $447 (503%)

Insurance Median: $103 (116%)

Cash: $447 (503% of Medicare)

Ins. Median: $103 (116% 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
Blue Cross Blue Shield	$20 - $41	22%
Humana	$33 - $137	37%
Aetna	$49 - $223	55%
Kentucky Labor Cabinet	$82	92%
United	$84 - $201	94%
Apex Health	$85	96%
Nhc Advantage, Inc.	$85	96%
Pruitt Health (Allyalign)	$85	96%
Cigna	$89 - $146	100%
Bgfh Singlesource	$223 - $380	251%
Employers Health Network	$313	352%
Odom'S Tn Pride Sausage	$335	377%
Multiplan	$402	452%
Beech Street	$411	462%

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 $447.
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 Tristar Stonecrest Medical Center 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.