CMS Price Transparency Data

X-ray, ankle

Facility: Lehigh Valley Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $68
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Lehigh Valley Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.76x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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%)
Insurance Median: $68 (76%)
Ins. Median: $68 (76% 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
Amerihealth Caritas $13 - $48 15%
Geisinger $14 - $404 16%
UnitedHealthcare $14 - $312 16%
Highmark Wholecare/Gateway $15 - $34 17%
Jefferson Health Partners $16 - $184 18%
Pa Health & Wellness $16 - $36 18%
Aetna $17 - $509 19%
Keystone First $17 - $39 19%
Upmc $19 - $447 21%
Blue Cross Blue Shield $56 - $118 63%
Cigna $78 88%
Amerihealth $92 - $95 103%
Ibc $92 - $181 103%
Highmark Blue Shield $94 - $297 106%
Devoted Health $97 109%
Humana $97 109%
Gateway $98 110%
Emblem $99 - $410 111%
Pa Health & Wellness (Allwell) $101 114%
Ambetter / Centene $279 314%
Valley Preferred $536 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals