CMS Price Transparency Data

X-ray, ankle

Facility: Sanford Bagley Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $547
  • Cash Discount Price: $514
  • vs. Medicare Baseline: 6.15x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Sanford Bagley Medical Center is $547. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $514. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.15x the Medicare baseline. Located in 203 4Th Street Northwest, Bagley, MN.
Cash / Self-Pay
$514

Average discount available for prompt cash payment at this facility.

Insurance Median
$547

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: $514 (578%)
Insurance Median: $547 (615%)
Cash: $514 (578% of Medicare)
Ins. Median: $547 (615% 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 615% of the Medicare baseline (a markup of 515%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Ucare $92 - $564 103%
Blue Cross Blue Shield $155 - $594 174%
Sanford Health Plan Align $293 330%
Health Partners $317 - $520 357%
Medicare (plans) $317 357%
UnitedHealthcare $317 - $536 357%
Primewest $324 - $346 364%
Aetna $344 - $558 387%
Security Health Plan $353 397%
Sanford Health Plan $507 - $596 570%
Medica $564 - $607 634%
Cigna $578 650%
First Choice Health Network $578 650%
Healthez $578 650%
Multiplan $578 650%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 203 4Th Street Northwest, Bagley, MN 56621
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals