CMS Price Transparency Data

X-ray, ankle

Facility: Lancaster Rehabilitation Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $269
  • Cash Discount Price: $294
  • vs. Medicare Baseline: 3.03x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Lancaster Rehabilitation Hospital is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.03x the Medicare baseline. Located in 675 Good Dr, Lancaster, PA.
Cash / Self-Pay
$294

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $294 (331%)
Insurance Median: $269 (303%)
Cash: $294 (331% of Medicare)
Ins. Median: $269 (303% 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 303% of the Medicare baseline (a markup of 203%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Multiplan $153 - $207 172%
Fed Med $166 - $224 187%
Aetna $256 - $345 288%
All Well - PA Health & Wellness $256 - $345 288%
Ambetter / Centene $256 - $345 288%
Amerihealth Caritas $256 - $345 288%
Blue Cross Blue Shield $256 - $345 288%
Cigna $256 - $345 288%
Freedom Blue Cpd (Highmark Freedcom Blue) $256 - $345 288%
Geha $256 - $345 288%
Geisinger $256 - $345 288%
Geisinger Gold $256 - $345 288%
Geisinger Health Cpd $256 - $345 288%
Highmark $256 - $345 288%
Highmark (Freedom Blue) $256 - $345 288%
Highmark Wholecare McD (Formerly Gateway) $256 - $345 288%
Highmark Wholecare Mgg (Formerly Gateway) $256 - $345 288%
Humana $256 - $345 288%
Medishare $256 - $345 288%
Optimum Healthcare $256 - $345 288%
Out of Area Blues $256 - $345 288%
PA Medical Assistance $256 - $345 288%
Preferred Health Care (Eliance) $256 - $345 288%
Tricare $256 - $345 288%
Triwest $256 - $345 288%
UPMC Health Plan $256 - $345 288%
UPMC for Life $256 - $345 288%
UPMC for You $256 - $345 288%
UnitedHealthcare $256 - $345 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 675 Good Dr, Lancaster, PA 17601
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL