CMS Price Transparency Data

X-ray, ankle

Facility: Womans Hospital of Texas,The

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $308
  • Cash Discount Price: $1,118
  • vs. Medicare Baseline: 3.46x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Womans Hospital of Texas,The is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,118. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.46x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$1,118

Average discount available for prompt cash payment at this facility.

Insurance Median
$308

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: $1,118 (1257%)
Insurance Median: $308 (346%)
Cash: $1,118 (1257% of Medicare)
Ins. Median: $308 (346% 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 346% of the Medicare baseline (a markup of 246%). 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
Texas Health Network $36 40%
Amerigroup $37 42%
Community Health Choice Mcd $37 42%
Texas Childrens Health Plans $37 - $390 42%
United $38 - $672 43%
Aetna $40 - $312 45%
Molina Healthcare $40 45%
Superior Health Plan $45 - $90 51%
Humana $46 - $397 52%
Cigna $104 - $134 117%
Blue Cross Blue Shield $140 - $523 157%
Healthcare Highways $189 - $381 213%
Evry Health $203 - $408 228%
Imagine Health $260 - $523 292%
Kelsey Care (Boon-Chapman) $260 - $523 292%
Christus (Usfhp) $297 - $597 334%
Curative Administrators $297 - $597 334%
Healthsmart Preferred Care $319 - $1,269 359%
Averde Health $334 - $672 376%
Fidelis Securecare Of Tx $334 - $672 376%
Coventry National First Health $396 - $796 445%
Physicians Cooperative Of Texas $409 - $821 460%
Rockport Workers Comp $409 - $821 460%
Independent Medical System $446 - $896 502%
National Healthcare Solutions $446 - $896 502%
Southwest Medical $446 - $896 502%
Coastal Comp $483 - $971 543%
Affiliated Ppo $557 - $1,120 626%
Fiesta Mart, Inc $557 - $1,120 626%
Multiplan $557 - $1,269 626%
Physicians, Inc $631 - $1,269 710%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals