CMS Price Transparency Data

X-ray, ankle

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $276
Cash Discount Price: $301
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Baylor Scott & White Hospital Brenham is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.10x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$301

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $301 (339%)

Insurance Median: $276 (310%)

Cash: $301 (339% of Medicare)

Ins. Median: $276 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Baylor Scott & White Health Plan	$62 - $215	70%
Triwest	$65	73%
Corvel	$68	76%
Prime Health Services	$68	76%
American Health Plan	$69	78%
Blue Cross Blue Shield	$69 - $306	78%
Healthspring	$69	78%
Procare Advantage	$69	78%
Superior Health Plan	$69	78%
Careworks Fka Rockport	$81	91%
Injury Management Organization	$81	91%
Sedgwick	$81	91%
Cigna	$258 - $303	290%
Aetna	$276	310%
Midcoast	$276	310%
Quiktrip	$276	310%
UnitedHealthcare	$278	313%
Imagine Health	$288	324%
University Of Mary Hardin-Baylor	$291	327%
Independent Medical System	$301	339%
Curative	$327	368%
First Health	$352	396%
Healthsmart	$352 - $377	396%
Humana	$352 - $402	396%
Private Health Care System	$377	424%
Bluebell Creameries	$452	508%

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 $301.
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 Baylor Scott & White Hospital Brenham 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.