CMS Price Transparency Data

X-ray, ankle

Facility: HCA Healthone Mountain Ridge

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,416
Cash Discount Price: $4,106
vs. Medicare Baseline: 15.93x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Healthone Mountain Ridge is $1,416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,106. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 15.93x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$4,106

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,416

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: $4,106 (4618%)

Insurance Median: $1,416 (1593%)

Cash: $4,106 (4618% of Medicare)

Ins. Median: $1,416 (1593% 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 1593% of the Medicare baseline (a markup of 1493%). 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 - $3,094	24%
United	$138 - $1,881	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $3,763	164%
Cigna	$179 - $2,676	201%
Rocky Mountain Health Plan	$182	205%
Vail Health	$336 - $636	378%
Life Source Services	$350	394%
Kaiser	$418 - $1,484	470%
Bright Health	$664 - $1,254	747%
Colorado Program For Children With Special Needs	$752 - $1,422	846%
Aetna	$1,168 - $2,208	1314%
Western Plains Community Health	$1,438 - $2,718	1617%
Northcare	$1,549 - $2,927	1742%
Physician Health Partners	$1,549 - $2,927	1742%
Medical Development International	$1,770 - $3,345	1991%
Prime Health	$1,992 - $3,763	2240%

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 $4,106.
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 HCA Healthone Mountain Ridge 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.