CMS Price Transparency Data

X-ray, ankle

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 73610 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$146

about 1.6× the $89 Medicare rate · typically $42–$150

modeled estimate · not a bill or quote

What this hospital charges insurers

$143

About the fair price

about $3 under the fair price · 1.6× Medicare

Medicare pays $89 Fair price $146 This hospital $143 Cash price $407 Hospital's list price $626

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $143

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, ankle is about $146 (about 1.6× the $89 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $143, or about $407 in cash — about the fair price. Located in Plymouth, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$48 - $478	54%
Blue Cross Blue Shieldmajor	$48 - $325	54%
Aetnamajor	$48 - $488	54%
Cignamajor	$361 - $541	406%
AvMed	$451 - $676	507%
CareSource	$143	161%
Dean Health Plan	$451 - $676	507%
GEHA	$319 - $478	359%
Health Net	$361 - $578	406%
HealthPartners	$361 - $541	406%
Medical Mutual	$326 - $488	367%
Meridian	$92	103%
MVP Health Care	$361 - $541	406%
Paramount	$451 - $676	507%
Priority Health	$361 - $541	406%
+ 53 smaller / regional plans	$68 - $751

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 407), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73610.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Regional Medical Center - Plymouth is in-network.
Ask your insurer whether prior approval is required for CPT code 73610.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Regional Medical Center - Plymouth

Compare: X-ray, ankle at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.