CMS Price Transparency Data

X-ray, ankle

Facility: Rio Grande Regional Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $546
Cash Discount Price: $1,365
vs. Medicare Baseline: 6.14x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Rio Grande Regional Hospital is $546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.14x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$1,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$546

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: $1,365 (1535%)

Insurance Median: $546 (614%)

Cash: $1,365 (1535% of Medicare)

Ins. Median: $546 (614% 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 614% of the Medicare baseline (a markup of 514%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Texas Health Network	$36	40%
Driscoll Children'S Health Plan	$38	43%
United	$38 - $913	43%
Aetna	$40	45%
Molina Healthcare	$40	45%
Superior Health Plan	$85 - $142	96%
Humana	$94	106%
Blue Cross Blue Shield	$180 - $913	202%
Texas Workforce Commission	$293 - $487	330%
Healthcare Highways	$311 - $517	350%
Averde Health	$402 - $669	452%
Cigna	$446 - $596	502%
Allegian Health	$488 - $811	549%
Curative Administrators	$488 - $811	549%
Healthsmart Preferred Care	$524 - $1,724	589%
First Health	$701 - $1,166	788%
National Healthcare Solutions	$732 - $1,217	823%
Southwest Medical	$732 - $1,217	823%
Coastal Comp	$793 - $1,318	892%
Usa Managed Care	$793 - $1,622	892%
Ppo Next/ Medical Control	$914 - $1,521	1028%
Beech Street	$975 - $1,622	1097%
Multiplan	$975 - $1,622	1097%

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 $1,365.
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 Rio Grande Regional 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.