CMS Price Transparency Data

X-ray, ankle

Facility: Kootenai Health

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $35
Cash Discount Price: $273
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Kootenai Health is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.39x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $273 (307%)

Insurance Median: $35 (39%)

Cash: $273 (307% of Medicare)

Ins. Median: $35 (39% 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
Coordinated Care Of Washington	$5 - $20	6%
Molina Healthcare Of Idaho	$5 - $135	6%
Molina Healthcare Of Washington	$5 - $20	6%
Aetna	$8 - $302	9%
Blue Cross Blue Shield	$8 - $328	9%
Humana	$8 - $90	9%
Magellan	$8 - $28	9%
Pacificsource	$8 - $298	9%
Premera	$8 - $225	9%
Regence Blue Shield Of Idaho	$8 - $90	9%
UnitedHealthcare	$8 - $328	9%
Wellpoint	$8 - $28	9%
Group Health/Kaiser	$11 - $324	12%
Mountain Health Co-Op	$282	317%
Cigna	$298 - $302	335%
Interwest Health	$309	348%
First Choice Health (Ameriben)	$310 - $315	349%

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 $273.
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 Kootenai Health 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.