CMS Price Transparency Data

X-ray, ankle

Facility: Franciscan Health Lafayette

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $581
Cash Discount Price: $280
vs. Medicare Baseline: 6.53x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Franciscan Health Lafayette is $581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.53x the Medicare baseline. Located in 1701 S Creasy Ln, Lafayette, IN.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$581

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: $280 (315%)

Insurance Median: $581 (653%)

Cash: $280 (315% of Medicare)

Ins. Median: $581 (653% 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 653% of the Medicare baseline (a markup of 553%). 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
Mdwise [1175]	$68	76%
Medicaid / KanCare	$68 - $82	76%
Managed Health Services [1302]	$70	79%
Blue Cross Blue Shield	$73 - $341	82%
Unicare [1150]	$73 - $341	82%
Medicare (plans)	$90 - $92	101%
Workers Comp [1172]	$180 - $184	202%
Aetna	$186 - $1,198	209%
Managed Care [2000]	$186 - $1,438	209%
UnitedHealthcare	$368 - $900	414%
Commercial [2001]	$391 - $1,354	440%
United Medical Resources [1158]	$409 - $817	460%
United Medical Resources [1301]	$409 - $900	460%
Humana	$549	617%
Cigna	$581 - $1,162	653%
Great West Insurance [1055]	$581 - $1,162	653%

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 $280.
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 Franciscan Health Lafayette 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.