CMS Price Transparency Data

X-ray, ankle

Facility: Round Rock Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $201
  • Cash Discount Price: $1,185
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Round Rock Medical Center is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,185. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.26x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$1,185

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $1,185 (1333%)
Insurance Median: $201 (226%)
Cash: $1,185 (1333% of Medicare)
Ins. Median: $201 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Superior Health Plan $8 - $401 9%
Amerigroup $23 26%
Moda $35 - $555 39%
St David’S Hospice $37 42%
United $38 - $1,062 43%
Blue Cross Blue Shield $39 - $753 44%
Molina Healthcare $40 45%
Covenant Management Systems $43 - $680 48%
Healthcare Highways $44 - $708 49%
Imo Med - Select Network $45 - $708 51%
Aetna $46 - $271 52%
Humana $46 52%
Sendero $46 52%
Nomi Health $48 - $874 54%
Moda Health $54 - $874 61%
Evry Health $56 - $869 63%
Texas Healthcare Foundation Heb $56 - $874 63%
Texas Workforce Commission $59 - $921 66%
Curative Administrators $60 - $944 67%
Harbor Health Team $60 - $944 67%
Averde Health $68 - $1,062 76%
Comanche County $76 - $1,180 85%
National Choicecare $76 - $1,180 85%
Healthsmart Preferred Care $83 - $1,889 93%
Independent Medical Systems $83 - $1,299 93%
Physicians Cooperative Of Texas $83 - $1,299 93%
Prime Health $91 - $1,417 102%
First Health $95 - $1,698 107%
Coastal Comp Health Networks $98 - $1,535 110%
National Health Care $98 - $1,535 110%
Occunet $106 - $1,653 119%
Texas Municipal League $106 - $1,653 119%
Cigna $107 - $136 120%
Medcorp Southwest $113 - $1,771 127%
Preferred Health Arrangement $113 - $1,771 127%
Rockport Healthcare Group $121 - $2,125 136%
Bce Emergis Corporation $136 - $2,125 153%
Beech Street $136 - $2,125 153%
Medical Control Network Solutions $136 - $2,125 153%
Multiplan $136 - $2,125 153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals