CMS Price Transparency Data

X-ray, ankle

Facility: Portneuf Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $983
  • Cash Discount Price: $797
  • vs. Medicare Baseline: 11.06x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Portneuf Medical Center is $983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $797. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.06x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$797

Average discount available for prompt cash payment at this facility.

Insurance Median
$983

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: $797 (896%)
Insurance Median: $983 (1106%)
Cash: $797 (896% of Medicare)
Ins. Median: $983 (1106% 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 1106% of the Medicare baseline (a markup of 1006%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $219 - $1,352 246%
Healthscope Benefits [2290] $219 - $328 246%
UnitedHealthcare $219 - $1,435 246%
Black Lung [6055] $436 - $654 490%
Employee Benefit Management Services [2445] $436 - $957 490%
Healthcare Highways [2210] $436 - $1,515 490%
Lucent Health [6000] $436 - $654 490%
Moda Health [6100] $436 - $654 490%
Oncology Patient Assistance Programs [2295] $436 - $654 490%
Pending Ssi [1616] $436 - $654 490%
Web Tpa [2115] $436 - $654 490%
Pacific Source Health Plans [2850] $611 - $917 687%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $638 - $957 718%
Medishare Christian Care [1645] $638 - $957 718%
Multiplan [1680] $712 - $1,515 801%
Cigna $782 - $1,174 880%
First Health [1375] $877 - $1,315 986%
Mailhandlers [1595] $901 - $1,352 1013%
Selecthealth [3740] $901 - $1,435 1013%
Geha [1415] $957 - $1,435 1076%
Humana $957 - $1,435 1076%
Administrative Concepts [1005] $1,010 - $1,515 1136%
Healthfirst [2395] $1,010 - $1,515 1136%
Healthnet [1495] $1,010 - $1,515 1136%
Hometown Health [2155] $1,010 - $1,515 1136%
Mayo Clinic Health Solutions [2280] $1,010 - $1,515 1136%
Meritain Health [1655] $1,010 - $1,515 1136%
Mutual Of Omaha [1685] $1,010 - $1,515 1136%
National Association Of Letter Carriers [1695] $1,010 - $1,515 1136%
New Era Life Insurance Company [1705] $1,010 - $1,515 1136%
Pan American Life Insurance Co [1770] $1,010 - $1,515 1136%
Pba [1775] $1,010 - $1,515 1136%
Phcs [1780] $1,010 - $1,515 1136%
Planned Administrators Inc [2360] $1,010 - $1,515 1136%
Trustmark [2030] $1,010 - $1,515 1136%
Ut Id Teamsters [3760] $1,010 - $1,515 1136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals