CMS Price Transparency Data

X-ray, ankle

Facility: Marshfield Medical Center - Weston

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $282
Cash Discount Price: $297
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Marshfield Medical Center - Weston is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.17x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.

Cash / Self-Pay

$297

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $297 (334%)

Insurance Median: $282 (317%)

Cash: $297 (334% of Medicare)

Ins. Median: $282 (317% 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 317% of the Medicare baseline (a markup of 217%). 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%
Family Health Center (Fhc)	$156	175%
Amish/Mennonite	$172	193%
Sanford Health Plan	$172	193%
The Alliance	$180 - $1,431	202%
Blue Cross Blue Shield	$194 - $219	218%
Group Health Cooperative Of Eau Claire	$257 - $282	289%
UnitedHealthcare	$259	291%
Besse Forest Products	$266	299%
Molina Healthcare Of Wi	$266	299%
Rice Lake School District	$266	299%
Wps Health Insurance	$277 - $302	312%
Medica Of Wi	$292 - $298	328%
Cigna	$294	331%
Healtheos By Multiplan Inc.	$294 - $297	331%
Corvel	$297	334%
First Health	$297	334%
Health Partners	$297	334%
Three Rivers Provider Network (Trpn)	$297	334%
Trilogy	$299 - $300	336%
Coventry	$300	337%
Health Smart	$300	337%
Rising Medical Work Comp	$304	342%

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 $297.
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 - Weston 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.