CMS Price Transparency Data

X-ray, ankle

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $347
  • Cash Discount Price: $347
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Rehabilitation Hospital of Wisconsin is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.90x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$347

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

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: $347 (390%)
Insurance Median: $347 (390%)
Cash: $347 (390% of Medicare)
Ins. Median: $347 (390% 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 390% of the Medicare baseline (a markup of 290%). 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
Alliance Ppo $238 - $322 268%
Dean Ppo Hmo/Pos $238 - $322 268%
Medica (Under Dean) $238 - $322 268%
UnitedHealthcare $241 - $467 271%
Trilogy Ppo $248 - $467 279%
Wps "Insurance" Ppo $252 - $341 283%
Phcs Savility $258 - $350 290%
Hps Solutions Ppo $262 - $355 295%
Aetna $269 - $467 303%
Health Eos Poc $276 - $374 310%
Coventry/First Health Ppo $283 - $383 318%
Hps (Other) $283 - $383 318%
Health Eos Multiplan $293 - $397 330%
Phcs / Multiplan $317 - $430 357%
All Savers $345 - $467 388%
Blue Cross Blue Shield $345 - $467 388%
Centivo Broad $345 - $467 388%
Centivo Intermediate/Median $345 - $467 388%
Centivo Narrow/Value $345 - $467 388%
Children'S Communty Health Plan(Cchp) $345 - $467 388%
Cigna $345 - $467 388%
Community Care, Inc $345 - $467 388%
Humana $345 - $467 388%
Icare Mcd $345 - $467 388%
Managed Health Services (Mhs) $345 - $467 388%
Medicaid / KanCare $345 - $467 388%
Medicare (plans) $345 - $467 388%
Molina (Fka Care Wisconsin) $345 - $467 388%
Network Health - Aca $345 - $467 388%
Network Health - Commercial $345 - $467 388%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $345 - $467 388%
Security Health Plan - Advocare $345 - $467 388%
Together With Cchp $345 - $467 388%
Unity Health Plan And Unity Quartz(Hmo/Pos) $345 - $467 388%
Va - Primary Only - Authorization Required $345 - $467 388%
Wellcare Mcr $345 - $467 388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL