CMS Price Transparency Data

X-ray, ankle

Facility: Aurora Lakeland Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $460
  • Cash Discount Price: $473
  • vs. Medicare Baseline: 5.17x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Aurora Lakeland Medical Center is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.17x the Medicare baseline. Located in W3985 County Road Nn, Elkhorn, WI.
Cash / Self-Pay
$473

Average discount available for prompt cash payment at this facility.

Insurance Median
$460

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: $473 (532%)
Insurance Median: $460 (517%)
Cash: $473 (532% of Medicare)
Ins. Median: $460 (517% 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 517% of the Medicare baseline (a markup of 417%). 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 $200 - $1,041 225%
Aurora Caregiver $240 270%
Quartz One $245 276%
Common Ground $249 280%
Everpointe Elite $259 291%
Healthpartners $266 - $945 299%
Blue Cross Blue Shield $275 - $1,071 309%
Quartz Group $290 326%
Hs Technology $293 330%
Wisconsin Physician Service $299 - $315 336%
Molina Exchange $308 346%
Centivo $328 369%
UnitedHealthcare $336 - $1,061 378%
Health Eos Plus $378 - $756 425%
Health Payment Systems $400 450%
Trilogy $410 461%
Cigna $460 - $1,066 517%
Health Eos $504 - $1,008 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: W3985 County Road Nn, Elkhorn, WI 53121
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals