CMS Price Transparency Data

X-ray, ankle

Facility: East Morgan County Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $31
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.35x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at East Morgan County Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.35x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $19 (21%)
Insurance Median: $31 (35%)
Cash: $19 (21% of Medicare)
Ins. Median: $31 (35% 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.

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
Aetna $8 - $438 9%
Banner Health $8 - $203 9%
Blue Cross Blue Shield $8 - $386 9%
Clear Spring Health $8 - $203 9%
Healthspring Life & Health Insurance Company, Inc. $8 - $203 9%
Longevity $8 - $209 9%
Medica $8 - $392 9%
Medicare (plans) $8 - $203 9%
Pinnacol Assurance Workers Comp $8 - $198 9%
Triwest Healthcare Alliance Corp - Va Ccn $8 - $203 9%
UnitedHealthcare $8 - $438 9%
Devoted Health Services $9 - $223 10%
Humana $9 - $215 10%
Assist Health Group $10 - $243 11%
Denver Health Medical Plan $15 - $377 17%
Apostrophe, Inc. $17 - $424 19%
First Choice Health Network $17 - $424 19%
Hue Health, Inc $18 - $447 20%
Multiplan $18 - $457 20%
Rocky Mountain Health Plans $18 - $447 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals