CMS Price Transparency Data

X-ray, ankle

Facility: Snoqualmie Valley Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $285
Cash Discount Price: $384
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Snoqualmie Valley Hospital is $285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $384. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.21x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$384

Average discount available for prompt cash payment at this facility.

Insurance Median

$285

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: $384 (432%)

Insurance Median: $285 (321%)

Cash: $384 (432% of Medicare)

Ins. Median: $285 (321% 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 321% of the Medicare baseline (a markup of 221%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Plan Of Wa Mcd Rep	$22 - $618	25%
Medicaid / KanCare	$22 - $618	25%
UnitedHealthcare	$22 - $1,218	25%
Amerigroup Wellpoint	$23 - $655	26%
Molina Healthcare Of Washington Mcd Rep	$24 - $667	27%
Washington Coordinated Care	$24 - $667	27%
Aetna	$34 - $769	38%
Humana	$35 - $563	39%
Blue Shield Of Wa Regence Mcr Adv	$43 - $563	48%
Community Health Plan Of Wa	$43 - $569	48%
Medicare (plans)	$43 - $558	48%
Molina Healthcare Of Washington Mcr Adv	$43 - $558	48%
Molina Healthcare Of Washington	$44 - $569	49%
First Choice Health Network	$45 - $927	51%
Blue Cross Blue Shield	$50 - $794	56%
Blue Shield Of Wa Regence	$51 - $125	57%
Kaiser Foundation Health Plan Of The Northwest	$52 - $833	58%
Cigna	$65 - $1,059	73%

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 $384.
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 Snoqualmie Valley 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.