CMS Price Transparency Data

X-ray, ankle

Facility: Daniels Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $378
Cash Discount Price: $388
vs. Medicare Baseline: 4.25x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Daniels Memorial Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $388. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.25x the Medicare baseline. Located in 105 5Th Ave E, Scobey, MT.

Cash / Self-Pay

$388

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $388 (436%)

Insurance Median: $378 (425%)

Cash: $388 (436% of Medicare)

Ins. Median: $378 (425% 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 425% of the Medicare baseline (a markup of 325%). 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
Allegiance Comml-All Other Plans	$7 - $433	8%
Allegiance Mcr	$7 - $274	8%
Triwest Ccn-All Plans	$8 - $274	9%
UnitedHealthcare	$8 - $429	9%
Pacific Source Comml-All Plans	$56 - $433	63%
First Choice Health -All Plans	$59	66%
Geha - All Plans	$378	425%
Montana Health Co-Op Hpn	$388	436%
Blue Cross Blue Shield	$398	448%
Montana Health Co-Op-All Other Plans	$433	487%
Interwest Ppo - All Plans	$442	497%

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 $388.
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 Daniels Memorial 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.