CMS Price Transparency Data

X-ray, ankle

Facility: St Joseph Health System, LLC

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $56
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at St Joseph Health System, LLC is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.63x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $22 (25%)
Insurance Median: $56 (63%)
Cash: $22 (25% of Medicare)
Ins. Median: $56 (63% 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.

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
Amish Aid $6 - $238 7%
Php $6 - $396 7%
Self Pay $6 - $544 7%
Lutheran Preferred $7 - $594 8%
Cigna $8 - $990 9%
Php Freedom Network $8 - $107 9%
Blue Cross Blue Shield $9 - $378 10%
Aetna $11 - $673 12%
Encore Ppo $12 - $891 13%
Lutheran Network $13 - $544 15%
Sagamore $13 - $536 15%
Multiplan $17 - $772 19%
First Health $18 - $742 20%
Prime Health Services $18 - $742 20%
Align Network $19 - $792 21%
Frontpath Health Coalition $19 - $792 21%
Advantage Health Solutions $20 - $822 22%
Allied Benefit Systems $22 - $891 25%
Medical Mutual Of Ohio $24 - $990 27%
Parkview Healthplan Services $24 - $990 27%
Value Options $24 - $990 27%
Veterans Eval Services $24 - $81 27%
UnitedHealthcare $26 - $493 29%
Spreemo $32 36%
Caresource $68 76%
Humana $68 - $91 76%
Managed Health Services $68 - $184 76%
Medicaid / KanCare $68 76%
Tricare $87 98%
Medicare (plans) $91 102%
Department Of Veterans Affairs $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Three Rivers $158 178%
Encore Work Comp In $166 187%
Work Comp $184 207%
Encore Kba Epo $221 249%
Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals