CMS Price Transparency Data

X-ray, ankle

Facility: Ira Davenport Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $395
Cash Discount Price: $434
vs. Medicare Baseline: 4.44x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Ira Davenport Memorial Hospital is $395. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.44x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$434

Average discount available for prompt cash payment at this facility.

Insurance Median

$395

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: $434 (488%)

Insurance Median: $395 (444%)

Cash: $434 (488% of Medicare)

Ins. Median: $395 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Empire	$6 - $34	7%
Blue Cross Blue Shield	$34 - $2,685	38%
Fidelis	$93	105%
Humana	$104 - $797	117%
Tricare	$104	117%
Amerihealth Caritas Mcr Adv - All Plans	$105	118%
Fidelis Care - Exchange - All Plans	$234 - $487	263%
Geisinger - All Plans	$247 - $515	278%
Cigna	$265 - $551	298%
Mvp Health Plan - All Plans	$265 - $551	298%
Independent Health - All Plans	$276 - $575	310%
Upmc - All Plans	$293 - $611	330%
Pomco Inc - All Plans	$306 - $637	344%
Aetna	$319 - $664	359%
UnitedHealthcare	$319 - $664	359%
Emblem Health - All Plans	$374 - $779	421%
Emblem/Ghi	$393 - $408	442%
Martins Point - All Plans	$425 - $885	478%
Healthnow - All Plans	$1,400 - $2,915	1575%

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 $434.
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 Ira Davenport 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.