CMS Price Transparency Data

X-ray, ankle

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $352
  • Cash Discount Price: $497
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at University of Wi Hospitals & Clinics Authority is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.96x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$497

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $497 (559%)
Insurance Median: $352 (396%)
Cash: $497 (559% of Medicare)
Ins. Median: $352 (396% 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 396% of the Medicare baseline (a markup of 296%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $89 - $885 100%
Blue Cross Blue Shield $89 - $1,049 100%
Humana $89 - $133 100%
Medicare (plans) $89 - $136 100%
UnitedHealthcare $89 - $691 100%
Alliance_Premier_Network $264 - $527 297%
Mercycare $274 - $548 308%
Triology $282 - $673 317%
Security_Health_Plan $298 - $701 335%
Employer'S_Coalition_On_Health $304 - $850 342%
Alliance $310 - $621 349%
Hfn $315 - $850 354%
United_Healthcare $316 - $937 355%
Beloit_Health_System $320 - $640 360%
Aspirus_Health_Plan $322 - $645 362%
Cigna $331 - $662 372%
Health_Partners_Insurance $337 - $673 379%
Health_Payment_Systems $338 - $677 380%
Dean_Health_Plan $353 - $707 397%
Medical_Associates $364 - $729 409%
Wps $383 - $842 431%
Employers_Healthcare_Coalition_Of_Wi $386 - $773 434%
Aspirus_Network_Inc $425 - $850 478%
Chorus_Community $442 - $883 497%
Ghc_Eau_Claire_Health_Plan $442 - $883 497%
Multiplan $442 - $1,016 497%
Sheybogan_Employers_Health_Network $442 - $883 497%
Coventry $469 - $938 527%
Dean_Care $469 - $938 527%
Healthsmart $486 - $972 547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals