CMS Price Transparency Data

X-ray, ankle

Facility: Alton Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $180
Cash Discount Price: $166
vs. Medicare Baseline: 2.02x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Alton Memorial Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.02x the Medicare baseline. Located in One Memorial Drive, Alton, IL.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

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: $166 (187%)

Insurance Median: $180 (202%)

Cash: $166 (187% of Medicare)

Ins. Median: $180 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Humana	$63	71%
Consociate [478]	$65	73%
Sarah Bush Lincoln [636]	$65	73%
Aetna	$82 - $208	92%
Allied Benefits [498]	$82 - $206	92%
Coresource [497]	$82	92%
Fmh Benefit Service Inc [222]	$82	92%
Mail Handlers [495]	$82	92%
Cigna	$87 - $222	98%
Apwu Health Plan [216]	$97	109%
Nalc Health Benefit Plan [242]	$97	109%
Priority Health [648]	$97	109%
Healthlink [225]	$134 - $209	151%
Cox Health Systems Insurance Company [220]	$152 - $180	171%
Health Alliance [224]	$152	171%
Hope Trust [806]	$161	181%
Blue Cross Blue Shield	$163 - $241	183%
Med-Pay [480]	$180 - $208	202%
Unicare [568]	$180 - $209	202%
First Health Commercial [734]	$206	232%
UnitedHealthcare	$206 - $296	232%
Beechstreet [551]	$208	234%
Detego Health [868]	$208	234%
Health Systems Inc [620]	$208	234%
Healthcare Sol Mercy [609]	$208	234%
Multiplan Commercial [737]	$208	234%
Multiplan [240]	$208	234%
Phcs [244]	$208 - $222	234%
Preferred Health Professionals [561]	$209	235%
Hfn [563]	$222	250%
Medica [661]	$222	250%
Healthscope Benefits [258]	$296	333%

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 $166.
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 Alton Memorial 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.