CMS Price Transparency Data

X-ray, ankle

Facility: Wellmont Bristol Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $87
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Wellmont Bristol Regional Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in One Medical Park Blvd, Bristol, TN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $75 (84%)
Insurance Median: $87 (98%)
Cash: $75 (84% of Medicare)
Ins. Median: $87 (98% 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
Blue Cross Blue Shield $18 - $257 20%
UnitedHealthcare $27 - $370 30%
Cigna $53 - $170 60%
Aetna $72 - $217 81%
Optima Health $72 - $108 81%
Molina Healthcare $73 - $110 82%
Humana $83 93%
Managed Medicaire $83 93%
Medicare (plans) $83 93%
Sentara Health $83 - $131 93%
United Mine Workers Of America $83 93%
Amerigroup $86 97%
Devoted Health Plan $87 98%
Mountain Empire Pace $87 98%
Nhc Advantage $87 98%
Wellcare $88 - $509 99%
Ambetter / Centene $180 202%
Seven Corners, Inc. $198 223%
Medcost $231 - $242 260%
First Health Coventry $373 - $392 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Medical Park Blvd, Bristol, TN 37620
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals