CMS Price Transparency Data

X-ray, ankle

Facility: Jefferson County Health Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $64
Cash Discount Price: $97
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Jefferson County Health Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.72x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $97 (109%)

Insurance Median: $64 (72%)

Cash: $97 (109% of Medicare)

Ins. Median: $64 (72% 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.

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
UnitedHealthcare	$21 - $234	24%
Tricare	$24 - $101	27%
Amerigroup Mcr Adv	$25 - $104	28%
Humana	$25 - $104	28%
Iowa Total Care Comm - All Other Plans	$25 - $104	28%
Iowa Total Care Mcr	$25 - $104	28%
Molina Mcr Adv	$25 - $104	28%
Iowa Total Care Mcaid	$26 - $109	29%
Molina Mcaid/Chip	$26 - $109	29%
Medicaid / KanCare	$27 - $111	30%
Aetna	$31 - $234	35%
Medicare (plans)	$31 - $127	35%
Midlands New Product	$52 - $213	58%
Coventry Commercial Hmo	$54 - $221	61%
Coventry Commercial Ppo - All Other Plans	$57 - $234	64%
Midlands Choice-All Other Plans	$57 - $234	64%
Wellmark Hmo	$59	66%
Molina Marketplace - All Other Plans	$63 - $260	71%
Wellmark Indemnity/Ppo - All Other Plans	$65	73%

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 $97.
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 Jefferson County Health 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.