CMS Price Transparency Data

X-ray, ankle

Facility: UW Health

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $40
Cash Discount Price: $30
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at UW Health is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.45x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $30 (34%)

Insurance Median: $40 (45%)

Cash: $30 (34% of Medicare)

Ins. Median: $40 (45% 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
Aetna	$14 - $412	16%
Blue Cross Blue Shield	$14 - $282	16%
Medicaid / KanCare	$14 - $86	16%
UnitedHealthcare	$22 - $438	25%
Hfn	$26 - $449	29%
Humana	$26 - $89	29%
Medicare (plans)	$26 - $98	29%
Mychoice Wi Medical Adv	$26 - $89	29%
Ecoh	$29 - $898	33%
Quartz Aso	$32 - $311	36%
Quartz Fully Insured	$32 - $198	36%
Cigna	$43 - $455	48%
Alliance Premier Network	$57 - $311	64%
Wps	$57 - $93	64%
Workers Comp	$61 - $115	69%
The Alliance	$62 - $401	70%
Beloit Healt System	$66 - $514	74%
Mercy Care	$80 - $130	90%
Wps Ppo	$441	496%
Mercycare	$532	598%
First Health/Coventry	$561	631%
Health Payment Systems	$665	748%
Healthsmart	$665	748%
Sheboygan Employers Health Network	$710	799%
Multiplan	$793	892%

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 $30.
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 UW 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.