CMS Price Transparency Data

X-ray, ankle

Facility: Boys Town National Research Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $469
Cash Discount Price: $618
vs. Medicare Baseline: 5.27x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Boys Town National Research Hospital is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $618. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.27x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.

Cash / Self-Pay

$618

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $618 (695%)

Insurance Median: $469 (527%)

Cash: $618 (695% of Medicare)

Ins. Median: $469 (527% 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 527% of the Medicare baseline (a markup of 427%). 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
Amerigroup	$76	85%
Molina Of Nebraska	$114	128%
Nebraska Total Care	$114	128%
UnitedHealthcare	$114 - $566	128%
Medica	$258 - $824	290%
Elap Omaha Firefighters	$283 - $566	318%
Nfm Paramount	$283 - $824	318%
Aetna	$381 - $762	429%
First Health	$381 - $762	429%
Methodist	$386 - $772	434%
Blue Cross Blue Shield	$412 - $999	463%
Health Partners	$412 - $824	463%
Midlands Choice	$412 - $824	463%
Phcs-Multiplan	$412 - $876	463%

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 $618.
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 Boys Town National Research 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.