CMS Price Transparency Data

X-ray, ankle

Facility: Helen Newberry Joy Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $117
Cash Discount Price: $87
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Helen Newberry Joy Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.32x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $87 (98%)

Insurance Median: $117 (132%)

Cash: $87 (98% of Medicare)

Ins. Median: $117 (132% 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.

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
Mi Wc - All Plans	$13 - $185	15%
Aetna	$18 - $321	20%
Uphg Tpa - All Plans	$18 - $261	20%
Cigna	$19 - $281	21%
First Health - All Plans	$19 - $275	21%
Health Alliance - All Plans	$19 - $281	21%
Healtheos - All Plans	$19 - $281	21%
Ppom/Cofinity - All Plans	$19 - $275	21%
Priority Health - All Plans	$19 - $281	21%
UnitedHealthcare	$19 - $281	21%
Vital Core - All Plans	$19 - $281	21%
Blue Cross Blue Shield	$20 - $321	22%
Humana	$101 - $321	114%
Mi Health Link - All Plans	$101 - $321	114%
Va - All Plans	$103 - $253	116%
Uphp Mcaid - All Plans	$118 - $229	133%

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 $87.
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 Helen Newberry Joy 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.