CMS Price Transparency Data

X-ray, ankle

Facility: Essentia Health Moose Lake

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $209
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 2.35x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Essentia Health Moose Lake is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.35x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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: $235 (264%)
Insurance Median: $209 (235%)
Cash: $235 (264% of Medicare)
Ins. Median: $209 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
Blue Cross Blue Shield $60 - $315 67%
Blue Plus Pmap Pcc Prime $60 - $175 67%
Itasca Med Care $88 99%
Primewest $88 99%
Medica Access $127 - $198 143%
Healthpartners Care Pmap $128 144%
Sanford Healthplan $136 - $144 153%
Advocare/Security Health $149 168%
Freedom Blue Ppo $149 168%
Healthpartners Care Msho / Mcr Adv $149 168%
Imcare Msho Pcc Prime $149 168%
Imcare Msho Ref Req $149 168%
Medica Advantage Solutions $149 168%
Medica Msho/Dual Solutions $149 168%
Medica Prime Solution Group $149 168%
Medicare (plans) $149 168%
Nd Va Administration $149 168%
Platinum Blue/Vantage Blue $149 168%
Primewest Msho $149 168%
Secure Blue Msho $149 168%
Ubh Cost Plan $149 168%
Ubh Msho $149 168%
Ucare Msho $149 168%
UnitedHealthcare $149 - $288 168%
Ucare $209 235%
Healthpartners $223 - $253 251%
Medica $227 - $253 255%
Medica Uplan $227 255%
Wea $229 - $245 258%
America'S Ppo $246 277%
Cigna $248 - $253 279%
Healthpartners Pcc Prime $248 - $253 279%
Medica Choice $260 292%
Wps $264 - $267 297%
Aetna $270 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals