CMS Price Transparency Data

X-ray, ankle

Facility: Mc Camey Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $317
Cash Discount Price: $336
vs. Medicare Baseline: 3.57x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Mc Camey Hospital is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.57x the Medicare baseline. Located in 2500 Hwy 305 South, McCamey, TX.

Cash / Self-Pay

$336

Average discount available for prompt cash payment at this facility.

Insurance Median

$317

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: $336 (378%)

Insurance Median: $317 (357%)

Cash: $336 (378% of Medicare)

Ins. Median: $317 (357% 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 357% of the Medicare baseline (a markup of 257%). 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
Superior Healthplan	$30 - $156	34%
Wellpoint	$109 - $520	123%
Capstar	$132 - $260	148%
Firstcare Star	$139 - $239	156%
Blue Cross Blue Shield	$228 - $468	256%
Aetna	$248 - $442	279%
Humana	$248 - $416	279%
Multiplan	$248 - $343	279%
UnitedHealthcare	$248 - $343	279%
Cigna	$300 - $416	337%
Three Rivers Provider	$319 - $442	359%
Galaxy	$338 - $468	380%
Healthsmart	$338 - $468	380%
Swhp Mco	$338 - $468	380%

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 $336.
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 Mc Camey 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.