CMS Price Transparency Data

X-ray, ankle

Facility: Prosser Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $37
Cash Discount Price: $24
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Prosser Memorial Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $24 (27%)

Insurance Median: $37 (42%)

Cash: $24 (27% of Medicare)

Ins. Median: $37 (42% 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
Amerigroup	$5 - $203	6%
Community Health Plan Of Washington	$5 - $192	6%
Coordinated Care	$5 - $192	6%
Kaiser Permanente	$5 - $431	6%
Molina	$5 - $192	6%
UnitedHealthcare	$5 - $379	6%
Health Alliance Northwest	$9 - $118	10%
Humana	$9 - $403	10%
Wellcare	$9 - $118	10%
Aetna	$10 - $403	11%
Cigna	$10 - $389	11%
Premera	$11 - $379	12%
Asuris	$12 - $427	13%
Health Management Adminstrators	$12 - $427	13%
Regence	$12 - $427	13%
Ambetter / Centene	$17 - $365	19%
Multiplan	$37 - $427	42%
First Choice	$403	453%

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 $24.
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 Prosser 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.