CMS Price Transparency Data

X-ray, ankle

Facility: Astria Toppenish Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $162
  • Cash Discount Price: $762
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Astria Toppenish Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.82x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$762

Average discount available for prompt cash payment at this facility.

Insurance Median
$162

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: $762 (857%)
Insurance Median: $162 (182%)
Cash: $762 (857% of Medicare)
Ins. Median: $162 (182% 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
Medicaid / KanCare $38 - $179 43%
Ambetter / Centene $52 58%
UnitedHealthcare $52 - $969 58%
Va $52 58%
Medicare (plans) $53 - $969 60%
Molina $53 60%
Molina_Exchange $67 75%
Li $86 97%
Aetna $93 - $1,032 105%
Cigna $93 105%
Humana $93 - $1,173 105%
Tricare $93 105%
Zenith $94 106%
Kaiser $329 370%
Regence $398 448%
Premera $442 497%
Premera_Affordable_Care $442 497%
Chpw_Cascade_Care $739 831%
First_Choice $809 910%
Tpsc $915 1029%
Bcchp $1,173 1319%
Great_Rivers $1,173 1319%
Healthcomp $1,173 1319%
Washington_State_Hca $1,173 1319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals