CMS Price Transparency Data

X-ray, ankle

Facility: Fostoria Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $286
Cash Discount Price: $350
vs. Medicare Baseline: 3.22x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Fostoria Community Hospital is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.22x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$350

Average discount available for prompt cash payment at this facility.

Insurance Median

$286

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: $350 (394%)

Insurance Median: $286 (322%)

Cash: $350 (394% of Medicare)

Ins. Median: $286 (322% 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 322% of the Medicare baseline (a markup of 222%). 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
Paramount Health Care	$33 - $286	37%
Blue Cross Blue Shield	$34 - $384	38%
Health Alliance Plan	$34 - $404	38%
Health Value Management	$34 - $117	38%
Buckeye Community Health Plan	$35 - $120	39%
Aetna	$39 - $361	44%
Buckeye Community Health Plan Inc	$39 - $196	44%
Meridian Health Plan Of Mi	$48	54%
Dayton Area Health Plan Dba Caresource	$53 - $224	60%
UnitedHealthcare	$84 - $322	94%
Amerihealth	$88	99%
Veterans Affairs	$119	134%
Medical Mutual Of Ohio	$305 - $324	343%
Frontpath Health Coalition	$310	349%
Ohio Health Choice	$350	394%
Ohio Ppo Connect	$350 - $404	394%
Health Ohio Network	$426	479%
Connecticut General Life Insurance Company	$430	484%

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 $350.
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 Fostoria 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.