CMS Price Transparency Data

X-ray, ankle

Facility: Westfield Memorial Hospital Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $36
  • Cash Discount Price: $354
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Westfield Memorial Hospital Inc is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.40x the Medicare baseline. Located in 189 E Main St, Westfield, NY.
Cash / Self-Pay
$354

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $354 (398%)
Insurance Median: $36 (40%)
Cash: $354 (398% of Medicare)
Ins. Median: $36 (40% 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
Univera $7 - $43 8%
Amerihealth $8 - $109 9%
Highmark $10 - $173 11%
Pennsylvania Health And Wellness $11 - $40 12%
Geisinger $12 - $43 13%
UnitedHealthcare $12 - $113 13%
Cigna $13 - $57 15%
Jefferson Health Plans $29 - $41 33%
Martin'S Point $82 - $104 92%
American Health Plans $104 117%
Life Pittsburgh $104 117%
Medicare (plans) $107 120%
Aetna $108 - $200 121%
Humana $110 124%
Molina $114 128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)