CMS Price Transparency Data

X-ray, ankle

Facility: Brattleboro Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $68
Cash Discount Price: $368
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Brattleboro Memorial Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.76x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$368

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $368 (414%)

Insurance Median: $68 (76%)

Cash: $368 (414% of Medicare)

Ins. Median: $68 (76% 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
Amerihealth-Caritas	$7 - $68	8%
New Hampshire Healthy Families	$7 - $68	8%
Wellsense	$7 - $90	8%
Blue Cross Blue Shield	$8 - $474	9%
Cigna	$8 - $500	9%
Harvard Pilgrim Health Care	$8 - $458	9%
Martin'S Point	$8 - $84	9%
Mvp Healthcare	$8 - $474	9%
New Hampshire Healthy Families (Wellcare)	$8 - $89	9%
Tufts Health Plan	$21 - $481	24%
Vermont Health Plan	$29 - $471	33%
UnitedHealthcare	$59 - $500	66%
Humana	$84	94%
Multiplan	$93 - $511	105%
Aetna	$511	575%
Coventry	$511	575%
Health New England	$511	575%

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 $368.
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 Brattleboro Memorial Hospital 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.