CMS Price Transparency Data

X-ray, ankle

Facility: Frankfort Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $402
Cash Discount Price: $1,780
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Frankfort Regional Medical Center is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,780. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.52x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$1,780

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $1,780 (2002%)

Insurance Median: $402 (452%)

Cash: $1,780 (2002% of Medicare)

Ins. Median: $402 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Blue Cross Blue Shield	$93 - $682	105%
Molina	$93 - $197	105%
United	$93 - $1,109	105%
Humana	$94 - $681	106%
Corvel	$187 - $396	210%
Prime Health	$187 - $396	210%
Coventry Cares	$209 - $444	235%
Signature Advantage	$221 - $468	249%
Cigna	$342 - $725	385%
Essence Healthcare	$524 - $1,109	589%
Baptist Health Network	$628 - $1,331	706%
Hospice Of Central Kentucky	$733 - $1,553	824%
Occupational Mc Alliance	$931 - $1,972	1047%
Multiplan	$1,106 - $2,342	1244%

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 $1,780.
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 Frankfort Regional Medical Center 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.