CMS Price Transparency Data

X-ray, ankle

Facility: Rochelle Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $421
Cash Discount Price: $638
vs. Medicare Baseline: 4.74x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Rochelle Community Hospital is $421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $638. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.74x the Medicare baseline. Located in 900 N 2Nd St, Rochelle, IL.

Cash / Self-Pay

$638

Average discount available for prompt cash payment at this facility.

Insurance Median

$421

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: $638 (718%)

Insurance Median: $421 (474%)

Cash: $638 (718% of Medicare)

Ins. Median: $421 (474% 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 474% of the Medicare baseline (a markup of 374%). 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
Aetna	$97 - $390	109%
Blue Cross Blue Shield	$97 - $781	109%
Medicaid / KanCare	$97	109%
Health Alliance Mcr Adv	$173 - $273	195%
Humana	$173 - $625	195%
UnitedHealthcare	$173 - $703	195%
Va Ccn - All Plans	$173 - $273	195%
Wellcare Mcr Adv - All Plans	$177 - $279	199%
Cigna	$371 - $586	417%
Osf Dan Ppo - All Plans	$371 - $586	417%
Beech Street-All Plans	$396 - $625	445%
First Health - All Plans	$396 - $625	445%
Health Alliance-All Other Plans	$396 - $625	445%
Ecoh-All Plans	$421 - $664	474%
Hfn-All Plans	$421 - $664	474%
The Alliance-All Plans	$421 - $664	474%
Quartz Health Solutions-All Plans	$436 - $687	490%
Multiplan-All Plans	$465 - $734	523%

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 $638.
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 Rochelle Community 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.