CMS Price Transparency Data

X-ray, ankle

Facility: Lost Rivers Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $287
Cash Discount Price: $356
vs. Medicare Baseline: 3.23x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Lost Rivers Medical Center is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.23x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

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: $356 (400%)

Insurance Median: $287 (323%)

Cash: $356 (400% of Medicare)

Ins. Median: $287 (323% 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 323% of the Medicare baseline (a markup of 223%). 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
Provider Network Of America-All Plans	$160	180%
Select Health Brightpath-All Other Plans	$252	283%
Tricare	$252	283%
Ihcn Brightpath-All Other Plans	$266	299%
Va Pccc-All Plans	$272	306%
Blue Cross Blue Shield	$280 - $445	315%
Humana	$280 - $445	315%
Ihcn Brightpath Mcr Adv	$280	315%
Molina Mcr Adv-All Plans	$280	315%
Pacificsource Mcr Adv	$280	315%
Regence/Brightpth Slhp Mcr	$280	315%
Select Health Mcr Adv	$280	315%
Prime Hlth Mcr Adv	$294	331%
Aetna	$303 - $418	341%
Cigna	$414	466%
First Choice-All Plans	$414	466%
Pacificsource Navigator-All Other Plans	$423	476%
UnitedHealthcare	$423	476%
Altius Health Plan-All Plans	$432	486%
Regence Blue Shield-All Other Plans	$1,638	1842%

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 $356.
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 Lost Rivers 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.