CMS Price Transparency Data

X-ray, ankle

Facility: Mosaic Life Care at St Joseph

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $385
Cash Discount Price: $510
vs. Medicare Baseline: 4.33x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Mosaic Life Care at St Joseph is $385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $510. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.33x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$510

Average discount available for prompt cash payment at this facility.

Insurance Median

$385

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: $510 (574%)

Insurance Median: $385 (433%)

Cash: $510 (574% of Medicare)

Ins. Median: $385 (433% 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 433% of the Medicare baseline (a markup of 333%). 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
Aetna	$7 - $496	8%
Medicaid / KanCare	$7 - $74	8%
UnitedHealthcare	$7 - $846	8%
Amerigroup Of Iowa	$8 - $26	9%
Iowa Total Care	$8 - $26	9%
Molina Of Iowa	$8 - $26	9%
Blue Cross Blue Shield	$9 - $521	10%
Centurion	$30 - $420	34%
Multiplan	$30 - $540	34%
Geha Shared Services	$35 - $487	39%
Freedom Select Healthlink	$37 - $515	42%
Healthlink Open Access	$37 - $515	42%
Preferred Health Professional	$37 - $515	42%
Sisco	$37 - $515	42%
Cigna	$38 - $528	43%
Ambetter / Centene	$59 - $169	66%
Home State Of Missouri	$798 - $870	898%
Healthy Blue Of Missouri	$979 - $1,068	1101%

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 $510.
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 Mosaic Life Care at St Joseph 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.