CMS Price Transparency Data

X-ray, ankle

Facility: Medical Center Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $156
Cash Discount Price: $305
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Medical Center Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$305

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $305 (343%)

Insurance Median: $156 (175%)

Cash: $305 (343% of Medicare)

Ins. Median: $156 (175% 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
Corvel Wc	$30 - $35	34%
Ambetter / Centene	$31 - $90	35%
Amerigroup	$31	35%
Blue Cross Blue Shield	$31 - $205	35%
Community Health Choice	$31	35%
First Care Health Plan	$31	35%
Superior Health Plan	$31	35%
UnitedHealthcare	$31 - $477	35%
Medicaid / KanCare	$37 - $39	42%
Superior Chips	$37	42%
Caprock	$65 - $229	73%
Healthsmart Preferred Care	$71 - $286	80%
Aetna	$83 - $315	93%
Humana	$83	93%
Novitas Solutions	$86	97%
Triwest Va Ccn	$86	97%
Care Improvement Plus	$87	98%
Wellcare By Allwell	$90	101%
Group Resources	$105	118%
Health Select	$155 - $205	174%
Cigna	$156 - $241	175%
Workers Comp	$175	197%
90 Degree Benefits	$229 - $269	258%
State Comptroller	$238	268%
Texas Mutual Wc	$315	354%
Geha	$325	366%
Firstcare	$334	376%

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 $305.
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 Medical Center 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.