CMS Price Transparency Data

X-ray, ankle

Facility: Indiana Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $69
Cash Discount Price: $150
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Indiana Regional Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.78x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $150 (169%)

Insurance Median: $69 (78%)

Cash: $150 (169% of Medicare)

Ins. Median: $69 (78% 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
UnitedHealthcare	$22 - $267	25%
Upmc Health Plan	$22 - $230	25%
Ambetter / Centene	$25 - $94	28%
Amerihealth Caritas	$25 - $94	28%
Highmark	$28 - $250	31%
Tricare	$33 - $501	37%
Aetna	$34 - $278	38%
Humana	$34 - $89	38%
Cigna	$35 - $231	39%
Geisinger Health Plan	$35 - $94	39%
Highmark Wholecare	$35 - $91	39%
Medicare (plans)	$35 - $91	39%
United Mine Workers Of America	$35 - $91	39%
Geisinger	$48 - $254	54%
Pa Health And Wellness Commercial	$48 - $254	54%
Department Of Human Services And Torrance State Hospital	$210 - $316	236%
Premier Comp Solutions, Llc	$301 - $451	339%
Miscellaneous Commercial	$334 - $501	376%
Pa Workers Compensation	$334 - $501	376%

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 $150.
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 Indiana Regional Medical Center 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.