CMS Price Transparency Data

X-ray, ankle

Facility: St Mary's Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $239
Cash Discount Price: $128
vs. Medicare Baseline: 2.69x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at St Mary's Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.69x the Medicare baseline. Located in 701 Lewiston St, Cottonwood, ID.

Cash / Self-Pay

$128

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $128 (144%)

Insurance Median: $239 (269%)

Cash: $128 (144% of Medicare)

Ins. Median: $239 (269% 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 269% of the Medicare baseline (a markup of 169%). 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
Nimiipuu Mcr Adv - Allplans	$8 - $482	9%
Regence Blue Shield Mcr	$8 - $477	9%
Tricare	$8 - $477	9%
UnitedHealthcare	$8 - $477	9%
Veterans Admin - All Plans	$8 - $477	9%
Blue Cross Blue Shield	$9 - $559	10%
Medicare (plans)	$9 - $477	10%
Aetna	$13 - $541	15%
First Choice- All Plans	$24 - $570	27%
Geha - All Plans	$24 - $565	27%
Idaho Phys Network - All Plans	$24 - $553	27%
Multiplan - All Plans	$24 - $565	27%
Corizon Correctional - All Plans	$36 - $559	40%
Regence Blue Shield - All Other Plans	$291 - $582	327%

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 $128.
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 St Mary's Hospital 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.