CMS Price Transparency Data

X-ray, ankle

Facility: Bay Area Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $104
Cash Discount Price: $166
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Bay Area Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $166 (187%)

Insurance Median: $104 (117%)

Cash: $166 (187% of Medicare)

Ins. Median: $104 (117% 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
Healthnet Mcr Adv	$9 - $112	10%
Moda Hlth Mcr Adv	$9 - $114	10%
Southwest Oregon Ipa - All Plans	$10 - $86	11%
Ods Ppo/Pos - All Plans	$12 - $403	13%
Blue Cross Blue Shield	$19 - $1,461	21%
Nasomah Hlth Grp - All Plans	$20 - $245	22%
Moda Beacon - All Other Plans	$22 - $281	25%
Moda Connexus/Synergy	$25 - $363	28%
Healthnet Comm- All Other Plans	$32 - $388	36%
Healthnet Mcaid	$34 - $104	38%
Prov Behav Hlth	$58	65%
Providence - All Other Plans	$58 - $379	65%
Providence Pebb	$58 - $400	65%
Pacificsource - All Plans	$78 - $347	88%
First Choice - All Plans	$371	417%
Aetna	$375	422%
Cigna	$375	422%
UnitedHealthcare	$388	436%

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 $166.
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 Bay Area 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.