CMS Price Transparency Data
X-ray, ankle
Facility: Johnson Memorial Hospital
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $106
- Cash Discount Price: $232
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Johnson Memorial Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$232
Average discount available for prompt cash payment at this facility.
Insurance Median
$106
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: $232 (261%)
Insurance Median: $106 (119%)
Cash: $232 (261% of Medicare)
Ins. Median: $106 (119% 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
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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 |
|---|---|---|
| Blue Cross Blue Shield | $74 - $102 | 83% |
| Aetna | $77 - $102 | 87% |
| Bcn Domestic | $95 | 107% |
| Blue Benefit Administrators Of Massachusetts | $95 | 107% |
| Blue Care Network | $95 | 107% |
| Blue Distinction Transplant | $95 | 107% |
| Blue Shield - Ca | $95 | 107% |
| Blue Shield - Id (Regence) | $95 | 107% |
| Blue Shield - Ny Highmark Northeastern | $95 | 107% |
| Blue Shield - Ny Highmark Western | $95 | 107% |
| Blue Shield - Pa (Highmark) | $95 | 107% |
| Blue Shield - Wa (Regence) | $95 | 107% |
| Health Choices | $95 | 107% |
| Kaiser Domestic | $95 | 107% |
| Pre-Employment | $95 | 107% |
| Unicare | $95 | 107% |
| Wc Domestic | $95 | 107% |
| Wellpoint | $95 | 107% |
| Connecticut Dept Of Correction | $96 | 108% |
| 1199 National Benefit Fund | $97 | 109% |
| Allied Benefit Systems | $97 | 109% |
| Gravie Admin Services | $97 | 109% |
| Hap | $97 | 109% |
| Luminare Health | $97 | 109% |
| Meritain | $97 | 109% |
| Nippon Life Ins | $97 | 109% |
| Webtpa | $97 | 109% |
| Medicare (plans) | $102 - $107 | 115% |
| UnitedHealthcare | $102 - $633 | 115% |
| Cca Senior Care Options | $104 | 117% |
| Cigna | $105 - $494 | 118% |
| Geha | $128 - $255 | 144% |
| Harvard Pilgrim Healthcare | $128 - $255 | 144% |
| Connecticare | $133 - $167 | 150% |
| Fallon Health | $136 | 153% |
| Allegiance | $204 - $408 | 229% |
| Health Partners | $204 - $408 | 229% |
| Magnacare | $204 - $408 | 229% |
| Claimdoc | $219 | 246% |
| Diversified Administrators | $219 | 246% |
| Innovative Health Plan Ii | $219 | 246% |
| Centivo | $243 | 273% |
| Health New England | $274 - $411 | 308% |
| Prime Health Services | $338 - $506 | 380% |
| Allied National Global Care | $350 - $525 | 394% |
| Asrm - Reliance Standard Life Insurance | $350 - $525 | 394% |
| Christian Care Ministry | $350 - $525 | 394% |
| Dean Health | $350 - $525 | 394% |
| Family Life Insurance Company | $350 - $525 | 394% |
| Ghc Scw | $350 - $525 | 394% |
| International Benefit Administrators | $350 - $525 | 394% |
| Lifetime Benefit Solutions | $350 - $525 | 394% |
| Manhattan Life | $350 - $525 | 394% |
| Medi Share | $350 - $525 | 394% |
| Multiplan | $350 - $525 | 394% |
| Mvp | $350 - $525 | 394% |
| Pai | $350 - $525 | 394% |
| Pan-American Life | $350 - $525 | 394% |
| Paramount Hmo | $350 - $525 | 394% |
| Phcs | $350 - $525 | 394% |
| Trinity Health Share | $350 - $525 | 394% |
| Health Smart | $359 - $538 | 404% |
| United Behavioral Health Eap | $422 - $633 | 475% |