CMS Price Transparency Data

X-ray, ankle

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $105
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Intermountain Health St Vincent Regional Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.18x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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%)

Insurance Median: $105 (118%)

Ins. Median: $105 (118% 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
First Choice Health	$59 - $125	66%
Other	$59 - $125	66%
Exchange Other	$62 - $92	70%
Mt Health Co-Op	$62 - $92	70%
Blue Cross Blue Shield	$66 - $118	74%
Ebms-Employee Benefit Mng	$68 - $211	76%
Meritain Health	$68 - $105	76%
Pacificsource	$74 - $220	83%
Allegiance	$78 - $242	88%
Cigna	$78 - $126	88%
Medicare (plans)	$88	99%
Aetna	$89	100%
UnitedHealthcare	$90 - $129	101%
Preferred One	$121 - $131	136%
Interwest	$126	142%
Private Hlthcare Sys	$128	144%
Geha	$129	145%
Sibanye Stillwater Health Partners	$167	188%
Coastal Administrative Services	$176	198%
Pacific Steel And Recycling	$220	247%

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 $X.
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 Intermountain Health St Vincent Regional 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.