CMS Price Transparency Data

X-ray, ankle

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $163
  • Cash Discount Price: $330
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at PAM Rehabilitation Hospital of Fargo is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.83x the Medicare baseline. Located in 4671 38Th St S, Fargo, ND.
Cash / Self-Pay
$330

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $330 (371%)
Insurance Median: $163 (183%)
Cash: $330 (371% of Medicare)
Ins. Median: $163 (183% 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.

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 $27 30%
Primewest Minnesota $27 30%
Ucare Of Minnesota $27 30%
Medica $43 - $193 48%
Sanford Health Plan $95 - $212 107%
Cigna $122 - $319 137%
Ilumed Aco Reach $132 - $296 148%
Americas Choice Provider Network $142 - $319 160%
Provider Network Of America $153 - $342 172%
Quik Trip $153 - $342 172%
Usa Managed Care Organization $153 - $342 172%
Velocity Provider Ppo Network $153 - $342 172%
Multiplan/Phcs $163 - $365 183%
Prime Health Services $173 - $388 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL