CMS Price Transparency Data

X-ray, ankle

Facility: Portsmouth Regional Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $650
Cash Discount Price: $1,560
vs. Medicare Baseline: 7.31x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Portsmouth Regional Hospital is $650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,560. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.31x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.

Cash / Self-Pay

$1,560

Average discount available for prompt cash payment at this facility.

Insurance Median

$650

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: $1,560 (1755%)

Insurance Median: $650 (731%)

Cash: $1,560 (1755% of Medicare)

Ins. Median: $650 (731% 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 731% of the Medicare baseline (a markup of 631%). 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
Blue Cross Blue Shield	$36 - $921	40%
Amerihealth Caritas	$43 - $86	48%
Well Sense Health Plan	$85 - $170	96%
Harvard Pilgrim	$214 - $268	241%
United	$268 - $1,372	301%
Maine Community Health	$326 - $1,102	367%
Tufts Health Plan	$391 - $1,189	440%
Aetna	$659 - $1,316	741%
Cigna	$727	818%
Mvp Health Plan	$729 - $1,455	820%
Corvel	$750 - $1,497	844%
Evernorth	$833 - $1,663	937%
Mutual Of Omaha	$833 - $1,663	937%
Multiplan	$843 - $1,684	948%
First Health	$947 - $1,892	1065%
Healthcare Value Mgmt	$947 - $1,892	1065%
Oxford Health Plans	$989 - $1,975	1112%

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 $1,560.
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 Portsmouth 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.