CMS Price Transparency Data

X-ray, ankle

Facility: Sweeny Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $279
Cash Discount Price: $260
vs. Medicare Baseline: 3.14x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Sweeny Community Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.14x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.

Cash / Self-Pay

$260

Average discount available for prompt cash payment at this facility.

Insurance Median

$279

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: $260 (292%)

Insurance Median: $279 (314%)

Cash: $260 (292% of Medicare)

Ins. Median: $279 (314% 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 314% of the Medicare baseline (a markup of 214%). 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
Blue Cross Blue Shield	$130 - $216	146%
Evercare Mcaid	$216	243%
UnitedHealthcare	$234 - $346	263%
Aetna	$251 - $346	282%
Amerigroup Mcr Adv - All Other Plans	$251	282%
Community Hlth Choice Him - All Other Plans	$251	282%
Coventry Mcr Adv	$251	282%
Molina Mcr Adv - All Other Plans	$251	282%
Superior Hp Mcr Adv-All Other Plans	$251	282%
Wellcare Mcare - All Plans	$251	282%
Care Improvement Mcr - All Plans	$253	285%
Choicecare Mcr Adv - All Plans	$253	285%
Community Hlth Choice Star	$305	343%
Molina Mcaid	$305	343%
Superior Hp Mcaid	$305	343%
Tx Chlidrens Hp Mcaid - All Plans	$305	343%
Tx True Choice Mcaid - All Plans	$305	343%
Beech Street - All Plans	$324	364%
Community Care Network - All Plans	$346	389%
Galaxy Health Network - All Plans	$389	438%
Multiplan - All Plans	$389	438%
Evercare Mcr Adv - All Other Plans	$420	472%
Amerigroup Mcaid	$433	487%

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 $260.
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 Sweeny Community 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.