CMS Price Transparency Data

X-ray, ankle

Facility: Sartori Memorial Hospital, Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $141
  • Cash Discount Price: $380
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Sartori Memorial Hospital, Inc is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.59x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$380

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $380 (427%)
Insurance Median: $141 (159%)
Cash: $380 (427% of Medicare)
Ins. Median: $141 (159% 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 $82 - $141 92%
Medicare (plans) $82 - $85 92%
Blue Cross Blue Shield $83 - $89 93%
UnitedHealthcare $84 - $701 94%
Iowa Total Care $87 98%
Medicaid / KanCare $88 - $89 99%
Bcn Domestic $89 100%
Blue Benefit Administrators Of Massachusetts $89 100%
Blue Care Network $89 100%
Blue Distinction Transplant $89 100%
Blue Shield - Ca $89 100%
Blue Shield - Id (Regence) $89 100%
Blue Shield - Ny Highmark Northeastern $89 100%
Blue Shield - Ny Highmark Western $89 100%
Blue Shield - Pa (Highmark) $89 100%
Blue Shield - Wa (Regence) $89 100%
Kaiser Domestic $89 100%
Pre-Employment $89 100%
Wc Domestic $89 100%
Health Choices $110 - $165 124%
Medical Associates $110 - $165 124%
Amish Hospital Aid $111 125%
Oscar $128 144%
Centivo $139 156%
Allied Benefit Systems $141 159%
Ambetter / Centene $141 159%
Asr Health Benefits $141 159%
Coventry $141 159%
First Health $141 159%
Lucent Health $141 159%
Luminare Health $141 159%
Medical Mutual $141 159%
Meritain $141 159%
Webtpa $141 159%
Health Partners $153 - $229 172%
Claimdoc $168 189%
Nova $168 189%
Geha $195 - $391 219%
Auxiant $332 - $498 373%
Cigna $332 - $498 373%
Medica $332 - $498 373%
Midlands $332 - $498 373%
Midlands Choice $332 - $498 373%
Iowa Dept Of Public Health $467 - $701 525%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals