CMS Price Transparency Data

X-ray, ankle

Facility: Spotsylvania Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $192
Cash Discount Price: $1,009
vs. Medicare Baseline: 2.16x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Spotsylvania Regional Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.16x the Medicare baseline. Located in 4600 Spotsylvania Parkway, Fredericksburg, VA.

Cash / Self-Pay

$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $1,009 (1135%)

Insurance Median: $192 (216%)

Cash: $1,009 (1135% of Medicare)

Ins. Median: $192 (216% 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 216% of the Medicare baseline (a markup of 116%). 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	$21 - $136	24%
Cigna	$173 - $212	195%
United	$182 - $454	205%
Lifeworks	$192	216%
Virginia Health Network	$353 - $656	397%
Kaiser	$595	669%
Greenvbrier Sporting Club	$605	680%
Multiplan	$716	805%
Corvel	$726	817%
Occunet Workers Comp	$807	908%
4Most Health Nework	$908	1021%
Three Rivers Provider Network	$908	1021%

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 $1,009.
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 Spotsylvania Regional Medical 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.