CMS Price Transparency Data

X-ray, ankle

Facility: Reston Hospital Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $499
Cash Discount Price: $1,162
vs. Medicare Baseline: 5.61x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Reston Hospital Center is $499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.61x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$1,162

Average discount available for prompt cash payment at this facility.

Insurance Median

$499

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: $1,162 (1307%)

Insurance Median: $499 (561%)

Cash: $1,162 (1307% of Medicare)

Ins. Median: $499 (561% 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 561% of the Medicare baseline (a markup of 461%). 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	$32 - $158	36%
Carefirst	$134	151%
Cigna	$163 - $171	183%
United	$182 - $1,026	205%
Lifeworks	$211 - $433	237%
Universal Healthcare Group	$244 - $502	274%
Greenvbrier Sporting Club	$666 - $1,368	749%
Virginia Health Network	$788 - $1,619	886%
Corvel	$799 - $1,641	899%
Occunet Workers Comp	$887 - $1,824	998%
4Most Health Network	$998 - $2,052	1122%

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 $1,162.
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 Reston Hospital Center 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.