CMS Price Transparency Data

X-ray, ankle

Facility: Froedtert Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $294
Cash Discount Price: $269
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Froedtert Community Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.31x the Medicare baseline. Located in 4805 S Moorland Rd, New Berlin, WI.

Cash / Self-Pay

$269

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $269 (303%)

Insurance Median: $294 (331%)

Cash: $269 (303% of Medicare)

Ins. Median: $294 (331% 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 331% of the Medicare baseline (a markup of 231%). 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
Blue Cross Blue Shield	$45 - $86	51%
Care Wisconsin	$86	97%
Community Care	$86	97%
Health Partners	$86 - $318	97%
Humana	$86	97%
Icare	$86	97%
Molina	$86	97%
Network Health Plan	$86 - $316	97%
Security Health Plan Secure Savers	$86	97%
UnitedHealthcare	$86 - $435	97%
Chorus Community Health Plan	$196	220%
Medical College Of Wisconsin	$196	220%
Centivo	$210 - $245	236%
Cigna	$287	323%
Common Ground	$294	331%
Sheboygan Employers Health Network	$294	331%
Wisconsin Physician Services	$294	331%
Health Payment Systems	$299	336%
Trilogy	$318	358%
Americas Choice	$426	479%
Healtheos	$426	479%
Multiplan/Private Healthcare Systems	$426	479%
First Health Network	$431	485%

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 $269.
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 Froedtert Community 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.