CMS Price Transparency Data

X-ray, ankle

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $95
Cash Discount Price: $146
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at M Health Fairview University of Mn Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $146 (164%)

Insurance Median: $95 (107%)

Cash: $146 (164% of Medicare)

Ins. Median: $95 (107% 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
Blue Cross Blue Shield	$6 - $174	7%
Health Partners	$6 - $267	7%
Hennepin Health	$6 - $89	7%
Itasca Medical Care	$6 - $88	7%
Medica	$6 - $129	7%
Primewest	$6 - $88	7%
South Country Health Alliance	$6 - $88	7%
Ucare	$6 - $201	7%
Sanford Health Plan	$8 - $321	9%
Security Health Plan	$8 - $408	9%
UnitedHealthcare	$8 - $310	9%
Wellcare	$8 - $88	9%
Cigna	$17 - $305	19%
Emerging Therapies	$20 - $348	22%
Humana	$20 - $354	22%
Aetna	$21 - $370	24%
Interlink	$23 - $408	26%
America'S Ppo	$24 - $392	27%
First Health	$25 - $446	28%
Multiplan	$26 - $463	29%
Private Healthcare Systems	$26 - $463	29%
Wisconsin Physician Services	$28 - $490	31%

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 $146.
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 M Health Fairview University of Mn 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.