CMS Price Transparency Data
X-ray, ankle
Facility: Children's Hosp of Los Angeles
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $22
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Children's Hosp of Los Angeles is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.25x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$34
Average discount available for prompt cash payment at this facility.
Insurance Median
$22
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: $34 (38%)
Insurance Median: $22 (25%)
Cash: $34 (38% of Medicare)
Ins. Median: $22 (25% 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medi-Cal | $5 - $34 | 6% |
| Inland Empire Health Plan | $5 - $34 | 6% |
| Molina | $5 - $34 | 6% |
| Shriners Hospital | $10 | 11% |
| Medicaid / KanCare | $10 - $34 | 11% |
| Incentive Health Network | $14 | 16% |
| Health Net | $14 - $42 | 16% |
| Non-Contract Payors | $14 | 16% |
| Beech Street | $14 | 16% |
| Emanate Health Medical Center Mmc | $15 | 17% |
| Kaiser | $16 - $19 | 18% |
| Axminster Medical Group | $16 - $20 | 18% |
| Heritage Provider Network | $16 - $34 | 18% |
| Facey Medical Group | $16 - $20 | 18% |
| St. John's Health Clinic | $16 - $20 | 18% |
| Sansum Clinic | $17 | 19% |
| La Care | $17 - $34 | 19% |
| Pioneer Prov Ntwk | $17 | 19% |
| Exceptional Care Medical Group | $17 - $34 | 19% |
| Altamed | $17 - $34 | 19% |
| Accarent Health | $17 | 19% |
| Staywell Insurance | $17 | 19% |
| Managed Care Systems | $17 | 19% |
| Mercy Care | $17 | 19% |
| Citrus Valley Phys Grp | $17 - $22 | 19% |
| Gemcare IPA | $17 | 19% |
| Good Samaritan Medical Group | $18 | 20% |
| Book Md | $18 | 20% |
| Aetna | $18 - $19 | 20% |
| Applecare Medical Group | $18 - $34 | 20% |
| Blue Shield | $18 - $34 | 20% |
| Choice Medical Group | $19 | 21% |
| Culinary Health Fund | $19 - $34 | 21% |
| Global Care Medical Group | $19 - $34 | 21% |
| Intl - Global Excel Management | $19 - $68 | 21% |
| National Healthcare Solutions | $19 | 21% |
| Health Care La IPA | $19 - $34 | 21% |
| Community Care | $19 | 21% |
| Providence Health Network | $19 | 21% |
| Intl - Quality Health Management | $19 - $34 | 21% |
| Bella Vista Med Grp | $19 - $34 | 21% |
| Intl - Global Medical Management | $19 | 21% |
| Premier Physicians Ntwk | $19 - $34 | 21% |
| Centinela Valley IPA | $19 - $34 | 21% |
| Bright Medical Associates | $20 | 22% |
| Emanate Health Medical Center Commercial | $20 | 22% |
| Sanus Health | $20 | 22% |
| Preferred IPA - Commercial | $20 | 22% |
| Family Care Specialists | $20 - $34 | 22% |
| Seoul Medical Group | $20 | 22% |
| Blue Cross Blue Shield | $20 - $58 | 22% |
| UnitedHealthcare | $20 - $109 | 22% |
| Los Angeles Medical Center IPA | $20 - $34 | 22% |
| Access Medical Group | $20 | 22% |
| Private Hlthcare System | $20 | 22% |
| Delta Health Systems | $20 | 22% |
| Self-Pay | $20 | 22% |
| Ventura County Health Plan | $20 | 22% |
| Allied Pacific IPA | $20 - $34 | 22% |
| Alhambra Hospital Medical Center | $20 - $34 | 22% |
| Sierra Health and Life Insurance Company | $21 | 24% |
| Intl - Erv Travel Services | $22 - $24 | 25% |
| Plotkin Health | $22 | 25% |
| Intl - Msh China Enterprise Services | $22 | 25% |
| Lakewood Health Plan | $22 | 25% |
| Star Healthcare Network Commercial | $22 | 25% |
| Intl - Aixin Life Insurance Co | $22 - $34 | 25% |
| Serra Community Med Clinic - Commercial | $22 | 25% |
| Prime Health Services | $22 | 25% |
| Intl - Concierge Healthcare Services | $22 | 25% |
| Axis Services International | $22 | 25% |
| Embassy - Saudi Arabia | $22 | 25% |
| Calvo Selectcare | $22 | 25% |
| Redlands Community Hospital | $22 | 25% |
| Seaside Health Plan | $22 - $34 | 25% |
| Cedar Sinai Med Grp | $22 | 25% |
| Marian Health Services | $22 | 25% |
| Multiplan | $24 | 27% |
| Angeles IPA | $24 - $34 | 27% |
| Primecare Medical Network | $24 | 27% |
| Memorialcare Med Foundation | $24 | 27% |
| Korean American Med Grp | $24 | 27% |
| Beaver Medical Group | $24 | 27% |
| Hispanic Physician IPA | $25 - $34 | 28% |
| Prospect Medical Group | $25 | 28% |
| Associated Hispanic Physicians IPA | $25 - $34 | 28% |
| Embassy - Kuwait | $25 | 28% |
| Interlink Health Services | $25 | 28% |
| Embassy - All Others | $27 | 30% |
| Self-Pay International | $27 | 30% |
| Medicare (plans) | $33 - $110 | 37% |
| Asian Community Medical Group | $34 | 38% |
| El Proyecto Del Barrio | $34 | 38% |
| Karing Physicians Medical Group | $34 | 38% |
| Regent Medical Group | $34 | 38% |
| Gold Coast Health Plan | $34 | 38% |
| St Francis Medical Center | $34 | 38% |
| Choc Health Alliance | $34 | 38% |
| Avalon IPA | $34 | 38% |
| Community Family Care IPA | $34 | 38% |
| Adventist Health Physicians | $34 - $201 | 38% |
| Employee Health Systems Med Grp | $34 | 38% |
| Watts Healthcare Mmc | $34 | 38% |
| Crown City Medical Group | $34 | 38% |
| Southern Atlantic Medical Group Mmc | $34 - $54 | 38% |
| Noble Community Medical Associates | $34 | 38% |
| Pacific Alliance Medical Center | $34 | 38% |
| Dignity Health | $34 | 38% |
| Valley Presbyterian Hospital | $34 | 38% |
| Superior Choice Medical Group | $34 | 38% |
| Cigna | $34 | 38% |
| Point Comfort Underwriters | $34 | 38% |
| Kern Family Health Plan | $34 | 38% |
| Serra Community Med Clinic | $34 | 38% |
| Family Health Alliance Med Grp | $34 | 38% |
| Cal Care IPA | $34 | 38% |
| Serendib Healthways Mmc | $34 | 38% |
| Imperial Health Holdings Medical Group | $34 | 38% |
| Primary Care and Pediatric IPA | $34 | 38% |
| Hollywood Presbyterian Medical Center | $34 | 38% |
| Community Care IPA Mmc | $34 | 38% |
| San Judas Med Grp | $34 | 38% |
| Beverly Hospital | $34 | 38% |
| Mabuhay Medical Group | $34 | 38% |
| California Pacific Physicians Medical Group | $34 | 38% |
| Souther California Hosp System - Mmc | $34 | 38% |
| Care 1St | $34 | 38% |
| Southland San Gabriel Valley Medical Group | $34 | 38% |
| White Memorial Medical Center | $34 | 38% |
| Caloptima | $34 | 38% |
| Accountable Health | $34 | 38% |
| Cencal Health | $34 | 38% |
| Preferred IPA | $34 | 38% |
| Healthy New Life Medical Corp | $34 | 38% |
| Champus | $109 | 123% |