CMS Price Transparency Data

X-ray, ankle

Facility: Sanford Canton-Inwood Medical Center - Cah

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $252
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 2.83x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Sanford Canton-Inwood Medical Center - Cah is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.83x the Medicare baseline. Located in 440 North Hiawatha Drive, Canton, SD.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $272 (306%)
Insurance Median: $252 (283%)
Cash: $272 (306% of Medicare)
Ins. Median: $252 (283% 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 283% of the Medicare baseline (a markup of 183%). 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
Sanford Health Plan Align $116 130%
Ucare $125 - $299 141%
Wellmark $125 - $296 141%
Aetna $126 - $295 142%
Health Partners $126 - $255 142%
Medicare (plans) $126 142%
UnitedHealthcare $126 - $284 142%
Primewest $129 145%
Sanford Health Plan $186 - $250 209%
Security Health Plan $187 210%
Medica $280 - $300 315%
First Choice Health Network $306 344%
Healthez $306 344%
Multiplan $306 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 440 North Hiawatha Drive, Canton, SD 57013
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals