CMS Price Transparency Data

X-ray, ankle

Facility: Pioneer Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $384
Cash Discount Price: $323
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Pioneer Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.32x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$323

Average discount available for prompt cash payment at this facility.

Insurance Median

$384

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: $323 (363%)

Insurance Median: $384 (432%)

Cash: $323 (363% of Medicare)

Ins. Median: $384 (432% 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 432% of the Medicare baseline (a markup of 332%). 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
Triwest VA Pccc-All Plans	$182	205%
Health Info Net McR Adv	$182	205%
Healtnet Federal-All Plans	$182	205%
UnitedHealthcare	$182 - $384	205%
Humana	$182 - $372	205%
Blue Cross Blue Shield	$182 - $335	205%
Rocky Mountain Health Network-All Plans	$283	318%
Allegiance Provider-All Plans	$343	386%
Mountain Health Co-Op Hpn	$356	400%
Three Rivers-All Plans	$384	432%
First Health-All Plans	$384	432%
First Choice Big Sky-All Plans	$384	432%
6 Degrees Health-All Plans	$384	432%
Pacific Source-All Plans	$384	432%
Interwest PPO	$384	432%
Fedmed Network-All Plans	$384	432%
Americas Choice-All Plans	$384	432%
City of Billings-All Plans	$384	432%
Pacific Steel & Recycling-All Plans	$384	432%
Community Health Ntwk-All Plans	$384	432%
Mountain Health Co-Op-All Other Plans	$384	432%
Ebms Select Care Network-All Plans	$384	432%
Health Info Net Peak/Equity	$392	441%
Health Info Net Standard-All Other Plans	$392	441%
Mountain Health Co-Op Ppo/Pos	$396	445%
Interwest Health Traditional-All Other Plans	$404	454%

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 $323.
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 Pioneer Medical Center 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.