CMS Price Transparency Data

X-ray, ankle

Facility: Medical City North Hills

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $310
  • Cash Discount Price: $1,216
  • vs. Medicare Baseline: 3.49x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Medical City North Hills is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,216. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.49x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$1,216

Average discount available for prompt cash payment at this facility.

Insurance Median
$310

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: $1,216 (1368%)
Insurance Median: $310 (349%)
Cash: $1,216 (1368% of Medicare)
Ins. Median: $310 (349% 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 349% of the Medicare baseline (a markup of 249%). 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
Amerigroup $37 42%
Cook Childrens Health Plan $37 42%
Parkland Community Health Plan $37 42%
United $37 - $348 42%
Cigna $39 - $1,296 44%
Aetna $40 - $1,178 45%
Molina $40 - $41 45%
Humana $46 - $91 52%
Superior Health Plan $57 - $113 64%
Blue Cross Blue Shield $95 - $719 107%
Unicare $170 - $1,620 191%
Healthcare Highways $199 - $548 224%
Evry Health $209 - $418 235%
Curative Administrators $325 - $648 366%
City Of Mckinney $365 - $729 411%
Fidelis Securecare $365 - $729 411%
National Choicecare $406 - $810 457%
Pc Texas Partners $446 - $891 502%
Physicians Coop Of Tx $446 - $891 502%
Rockport Health Group $446 - $891 502%
Averde Health, Inc $471 - $940 530%
Magellan Behavior Health $487 - $972 548%
Coastal Comp Health Networks $568 - $1,134 639%
Mega Life $568 - $1,134 639%
Multiplan Phcs $568 - $1,134 639%
Healthsmart Preferred Care $609 - $1,215 685%
Lewisville Isd/Dls Consulting $609 - $1,215 685%
Usa Managed Care $649 - $1,296 730%
Usc Health Services $649 - $1,296 730%
Galaxy Health Network $690 - $1,377 776%
Independent Medical Systems $811 - $1,620 912%
National Healthcare Solutions $811 - $1,620 912%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals