CMS Price Transparency Data

X-ray, ankle

Facility: Bear River Valley Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $418
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 4.70x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Bear River Valley Hospital is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.70x the Medicare baseline. Located in 905 North 1000 West, Tremonton, UT.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$418

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: $361 (406%)
Insurance Median: $418 (470%)
Cash: $361 (406% of Medicare)
Ins. Median: $418 (470% 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 470% of the Medicare baseline (a markup of 370%). 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
Aetna $8 - $462 9%
American Health $8 - $92 9%
Blue Cross Blue Shield $8 - $457 9%
Health Partners Of Nevada $8 - $88 9%
Health Plan Of Nevada $8 - $428 9%
Healthy U $8 - $428 9%
Humana $8 - $93 9%
Molina $8 - $457 9%
Selecthealth $8 - $457 9%
UnitedHealthcare $8 - $457 9%
Triwest $84 94%
Awh Connected $220 - $462 247%
Byu Athletics $220 - $457 247%
Campbell Scientific $220 - $457 247%
Cigna $220 - $457 247%
Deseret Mutual $220 - $457 247%
Emi $220 - $457 247%
Emi Health $220 - $457 247%
Franklin County $220 - $457 247%
Health Utah $220 - $457 247%
Ifit $220 - $457 247%
Juniper Systems $220 - $457 247%
Lw Miller $220 - $457 247%
Managed Care Admin $220 - $457 247%
Motivhealth $220 - $457 247%
Pehp $220 - $457 247%
Prodegi Corp Benefit $220 - $457 247%
Tanner Llc $220 - $457 247%
Utah Tech $220 - $457 247%
Wise Network $220 - $457 247%
Injury Care Of Nevada $361 406%
Byu Risk Management $409 460%
Corporation Of The President $409 460%
Corvel Corporation $409 460%
Wcf Insurance $409 460%
Global Excel $457 514%
Hygeia Corporation $457 514%
Medcare International $457 514%
Springtide $457 514%
Uofu $457 514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 905 North 1000 West, Tremonton, UT 84337
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals