CMS Price Transparency Data

X-ray, ankle

Facility: Marshfield Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $405
Cash Discount Price: $423
vs. Medicare Baseline: 4.56x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Marshfield Medical Center is $405. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.56x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$423

Average discount available for prompt cash payment at this facility.

Insurance Median

$405

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: $423 (476%)

Insurance Median: $405 (456%)

Cash: $423 (476% of Medicare)

Ins. Median: $405 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Security Health Plan (Shp)	$150 - $206	169%
Blue Cross Blue Shield	$194 - $219	218%
Family Health Center (Fhc)	$222	250%
Amish/Mennonite	$245	276%
Sanford Health Plan	$245	276%
The Alliance	$309 - $372	348%
Group Health Cooperative Of Eau Claire	$365 - $409	411%
Besse Forest Products	$378	425%
Molina Healthcare Of Wi	$378	425%
Rice Lake School District	$378	425%
Wps Health Insurance	$392 - $429	441%
Trilogy	$400 - $427	450%
Medica Of Wi	$413 - $421	465%
Cigna	$418	470%
Healtheos By Multiplan Inc.	$418 - $423	470%
Corvel	$423	476%
First Health	$423	476%
Health Partners	$423	476%
Three Rivers Provider Network (Trpn)	$423	476%
Coventry	$427	480%
Health Smart	$427	480%
Rising Medical Work Comp	$432	486%
UnitedHealthcare	$484	544%

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 $423.
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 Marshfield Medical Center 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.