CMS Price Transparency Data

X-ray, ankle

Facility: Elizabethtown Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $50
Cash Discount Price: $317
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Elizabethtown Community Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.56x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $317 (357%)

Insurance Median: $50 (56%)

Cash: $317 (357% of Medicare)

Ins. Median: $50 (56% 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
Harvard Pilgrim	$20 - $486	22%
Magnacare	$20 - $486	22%
Coventry	$21 - $517	24%
Blue Cross Blue Shield	$22 - $457	25%
Fidelis Care	$22 - $231	25%
Multiplan	$22 - $547	25%
Capital District Physicians' Health Plan	$23 - $500	26%
UnitedHealthcare	$24 - $560	27%
Mvp	$29 - $475	33%
Humana	$32 - $84	36%
Aetna	$34 - $456	38%
Martins Point	$34 - $231	38%
Veterans Affairs Community Care Network	$34 - $231	38%
Choicecare	$37 - $486	42%
Highmark Blueshield	$39 - $496	44%
Wellpath	$47 - $347	53%
Emblem Health	$486	547%

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 $317.
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 Elizabethtown Community 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.