CMS Price Transparency Data

X-ray, ankle

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $80
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mary Hitchcock Memorial Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $135 (152%)
Insurance Median: $80 (90%)
Cash: $135 (152% of Medicare)
Ins. Median: $80 (90% 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
Wellsense Health Plan $6 - $103 7%
Amerihealth Caritas Nh $7 - $79 8%
Beacon Health Strategies/Carelon $7 - $86 8%
Granite State Health Plan $7 - $88 8%
Aetna $8 - $492 9%
Blue Cross Blue Shield $8 - $611 9%
Cigna $8 - $481 9%
Martin'S Point Generations Advantage $8 - $99 9%
Martin'S Point Health Care $8 - $242 9%
Mvp $8 - $470 9%
UnitedHealthcare $8 - $538 9%
Wellcare Health Plans $8 - $102 9%
Ambetter / Centene $9 - $212 10%
Harvard Pilgrim Health Care Of Ne $10 - $450 11%
Mass General Brigham Health Plan $23 - $436 26%
Tufts Health Plan $26 - $409 29%
Maine Community Health Options $115 - $515 129%
Coventry $157 - $610 177%
First Health/Hcvm $157 - $610 177%
Phcs $162 - $631 182%
Corvel $166 - $645 187%
Ccmsi $171 - $666 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals