CMS Price Transparency Data

X-ray, ankle

Facility: San Luis Valley Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $323
Cash Discount Price: $204
vs. Medicare Baseline: 3.63x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at San Luis Valley Regional Medical Center is $323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.63x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$204

Average discount available for prompt cash payment at this facility.

Insurance Median

$323

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: $204 (229%)

Insurance Median: $323 (363%)

Cash: $204 (229% of Medicare)

Ins. Median: $323 (363% 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 363% of the Medicare baseline (a markup of 263%). 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
Rocky Mountain	$35 - $696	39%
Uc Health Plan Pb	$52 - $103	58%
Tricare	$88 - $92	99%
Kaiser	$92 - $696	103%
Triwest	$92	103%
Aetna	$103 - $641	116%
Multiplan Physician	$103 - $206	116%
Cigna	$123 - $696	138%
Rocky Mountain Pb	$123 - $244	138%
Uchpa Phs - Pb	$123 - $244	138%
Presbyterian Health Plan	$207	233%
Co Choice Healthplan - Lutheran Hosp Assoc	$250 - $498	281%
Hmo Health Plans	$257 - $513	289%
UnitedHealthcare	$322 - $674	362%
Blue Cross Blue Shield	$323 - $645	363%
Galaxy Health Network	$323 - $645	363%
Multiplan	$323 - $660	363%
Humana	$330 - $660	371%
Pinnacol Assurance	$341 - $682	384%
Colorado Access	$347 - $693	390%
Foundation Health Corp	$349 - $696	393%
Uc Health Plan	$349 - $696	393%
Uchpa Phs	$349 - $696	393%

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 $204.
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 San Luis Valley 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.