CMS Price Transparency Data

X-ray, ankle

Facility: Encompass Health Rehabilitation Hospital of Concord

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,054
Cash Discount Price: $832
vs. Medicare Baseline: 11.85x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Encompass Health Rehabilitation Hospital of Concord is $1,054. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $832. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.85x the Medicare baseline. Located in 254 Pleasant St, Concord, NH.

Cash / Self-Pay

$832

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,054

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: $832 (936%)

Insurance Median: $1,054 (1185%)

Cash: $832 (936% of Medicare)

Ins. Median: $1,054 (1185% 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 1185% of the Medicare baseline (a markup of 1085%). 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
Bc of New Hampshire	$706	794%
Blue Cross Blue Shield	$706	794%
Multiplan	$776	873%
Multiplan Wc	$776	873%
Coventry Healthcare Wc	$1,054	1185%
Amerihealth Caritas McD	$1,109	1247%
Medicaid / KanCare	$1,109	1247%
Nh Health Families McD	$1,109	1247%
Well Sense Health McD	$1,109	1247%

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 $832.
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 Encompass Health Rehabilitation Hospital of Concord 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.