CMS Price Transparency Data

X-ray, ankle

Facility: Long Island Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $87
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Long Island Community Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $59 (66%)
Insurance Median: $87 (98%)
Cash: $59 (66% of Medicare)
Ins. Median: $87 (98% 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
Local 1199 $43 48%
Magellan $56 63%
Multiplan $56 63%
Oscar Health Exchange $59 66%
Coventry $64 72%
Longevity Health $69 78%
Galaxy $78 88%
Aarp $87 98%
Aetna $87 - $112 98%
Beacon Health Options $87 98%
Blue Cross Blue Shield $87 - $225 98%
Centerlight $87 98%
Cigna $87 - $116 98%
Emblem Ghi $87 98%
Fidelis $87 98%
Humana $87 98%
Integra $87 98%
Medicare (plans) $87 98%
UnitedHealthcare $87 - $130 98%
Agewell $90 101%
Elderplan Inc. $95 107%
Wellcare $95 107%
Nexus Nyu $117 132%
Magnacare $190 - $332 214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals