CMS Price Transparency Data

X-ray, ankle

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $78
Cash Discount Price: $741
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Univ. of Vermont - Fletcher Allen Health Care is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $741. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$741

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $741 (833%)

Insurance Median: $78 (88%)

Cash: $741 (833% of Medicare)

Ins. Median: $78 (88% 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
Blue Cross Blue Shield	$5 - $718	6%
UnitedHealthcare	$6 - $729	7%
Mvp	$7 - $510	8%
Aetna	$8 - $89	9%
Capital District Physicians' Health Plan	$8 - $555	9%
Humana	$8 - $207	9%
Martins Point	$8 - $91	9%
St. Regis	$8 - $89	9%
Veterans Affairs Community Care Network	$8 - $89	9%
Fidelis Care	$9 - $98	10%
Wellpath	$11 - $408	12%
Ebpa	$29 - $637	33%
Harvard Pilgrim	$30 - $593	34%
Magnacare	$30 - $593	34%
Coventry	$32 - $630	36%
Nppn	$34 - $667	38%
Cigna	$35 - $667	39%

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 $741.
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 Univ. of Vermont - Fletcher Allen Health Care 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.