CMS Price Transparency Data

X-ray, ankle

Facility: West Valley Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $545
Cash Discount Price: $1,058
vs. Medicare Baseline: 6.13x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at West Valley Medical Center is $545. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.13x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median

$545

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: $1,058 (1190%)

Insurance Median: $545 (613%)

Cash: $1,058 (1190% of Medicare)

Ins. Median: $545 (613% 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 613% of the Medicare baseline (a markup of 513%). 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	$7 - $1,400	8%
Molina	$7 - $21	8%
Regence	$181	204%
United	$182 - $880	205%
Select Health Idaho (Eirmc Only)	$205 - $470	231%
Corizon Health	$237 - $545	267%
True Blue	$253 - $582	285%
Cigna	$359 - $826	404%
Pacificsource Health	$383 - $880	431%
Moda	$399 - $918	449%
St Luke'S Health Partners	$417 - $958	469%
Aetna	$507 - $1,166	570%
Four Rivers Hospice	$513 - $1,179	577%
Multiplan	$513 - $1,179	577%
Humana	$539 - $1,238	606%
Geha Ppo Usa	$545 - $1,253	613%
Coventry First Health	$577 - $1,327	649%
St Alphonsus Health	$577 - $1,327	649%

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 $1,058.
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 West Valley Medical 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.