CMS Price Transparency Data

X-ray, ankle

Facility: Geisinger-Lewistown Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $352
Cash Discount Price: $505
vs. Medicare Baseline: 3.96x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Geisinger-Lewistown Hospital is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.96x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$505

Average discount available for prompt cash payment at this facility.

Insurance Median

$352

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: $505 (568%)

Insurance Median: $352 (396%)

Cash: $505 (568% of Medicare)

Ins. Median: $352 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Medicaid / KanCare	$27	30%
Amerihealth	$29	33%
Geisinger Family Plan	$29	33%
Upmc Health Plan	$31 - $11,890	35%
Health Partners	$32	36%
Upmc Chip	$33	37%
Blue Cross Blue Shield	$85 - $440	96%
Geisinger Health Plan	$85 - $400	96%
Medicare (plans)	$85	96%
Advantra	$86	97%
Humana	$86	97%
Ambetter / Centene	$205	231%
Aetna	$333 - $396	375%
Cigna	$352 - $428	396%
UnitedHealthcare	$361	406%
Christian Healthcare Ministries	$407	458%
Christian Health Aid	$651	732%
Three Rivers Provider Network Inc.	$651	732%
Multiplan	$692	778%
Healthsmart Payors Organization	$733	824%

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 $505.
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 Geisinger-Lewistown 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.