CMS Price Transparency Data

X-ray, ankle

Facility: Texas Health Hospital Frisco

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $343
Cash Discount Price: $404
vs. Medicare Baseline: 3.86x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Texas Health Hospital Frisco is $343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.86x the Medicare baseline. Located in 12400 N Dallas Parkway, Frisco, TX.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$343

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: $404 (454%)

Insurance Median: $343 (386%)

Cash: $404 (454% of Medicare)

Ins. Median: $343 (386% 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 386% of the Medicare baseline (a markup of 286%). 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
Amerigroup	$37 - $92	42%
Blue Cross Blue Shield	$37 - $630	42%
Parkland	$37	42%
UnitedHealthcare	$37 - $722	42%
Superior Wellcare	$39 - $96	44%
Molina	$40 - $92	45%
American Health	$87	98%
Healthspring	$89	100%
Humana	$91	102%
Aetna	$277 - $472	312%
Fort Worth Firefighters	$296 - $411	333%
City Of Fort Worth	$317	357%
Cigna	$373 - $634	420%
Quick Trip	$404 - $425	454%
Phcs	$468 - $502	526%
Healthsmart	$506 - $566	569%
Multiplan	$586	659%
Galaxy	$593	667%
Usa	$593	667%

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 $404.
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 Texas Health Hospital Frisco 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.