CMS Price Transparency Data

X-ray, ankle

Facility: Jones Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $27
Cash Discount Price: $168
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Jones Memorial Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.30x the Medicare baseline. Located in 191 North Main Street, Wellsville, NY.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $168 (189%)

Insurance Median: $27 (30%)

Cash: $168 (189% of Medicare)

Ins. Median: $27 (30% 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.

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
Medicaid / KanCare	$6 - $35	7%
UnitedHealthcare	$7 - $116	8%
Aetna	$8 - $148	9%
Blue Cross Blue Shield	$8 - $227	9%
Excellus 2201	$8 - $43	9%
Fidelis 5155	$8 - $50	9%
Independent Health 5156	$8 - $113	9%
Medicare (plans)	$8 - $128	9%
Univera Healthcare 1706	$8 - $13	9%
Cigna	$11 - $284	12%
Molina Healthcare 1723	$14 - $28	16%
Capital District Physicians Health Plan (Cdphp) 5149	$21 - $91	24%
Mvp 2900	$33 - $275	37%
UPMC Health Plan 5138	$87	98%
Humana	$116	130%
Total Senior Care 1319	$116	130%
Empire Plan 5179	$206	232%

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 $168.
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 Jones Memorial 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.