CMS Price Transparency Data

X-ray, ankle

Facility: Flowers Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $791
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 8.90x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Flowers Hospital is $791. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.90x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$791

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: $360 (405%)
Insurance Median: $791 (890%)
Cash: $360 (405% of Medicare)
Ins. Median: $791 (890% 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 890% of the Medicare baseline (a markup of 790%). 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
Alabama Rehab $20 22%
Medicaid / KanCare $20 - $53 22%
Tricare $72 - $80 81%
Blue Cross Blue Shield $74 - $126 83%
Humana $74 - $82 83%
Medicare (plans) $74 - $82 83%
Node Viva Mcr Adv $74 - $82 83%
UnitedHealthcare $74 - $239 83%
Compassionate Hands $75 - $84 84%
Covenant Hospice $75 - $84 84%
Dayspring Hospice $75 - $84 84%
Node Champva $75 - $84 84%
Node Hospice Non Par $75 - $84 84%
Node Va $75 - $84 84%
Select Health $75 - $83 84%
Southern Care Hospice $75 - $84 84%
Vistacare Hospice $75 - $84 84%
Wiregrass Hospice $75 - $84 84%
Aetna $76 - $1,819 85%
Care Improvement Plus $76 - $84 85%
Cigna $76 - $314 85%
Node Clover Health Mcr Adv $76 - $85 85%
Node Devoted Health Mcr Adv $76 - $84 85%
Veterans Eval Services $76 - $152 85%
Node Wellcare Mcr Adv $77 - $86 87%
Eon Health Care $78 - $87 88%
Prime Health $79 - $1,758 89%
Node Us Dept Of Labor $94 - $105 106%
Ambetter / Centene $113 - $126 127%
Occunet $132 - $147 148%
Self Pay $170 - $748 191%
S & S Healthcare $282 - $623 317%
Choicecare Commercial $396 - $872 445%
American Employee Alliance $452 - $997 508%
Coventry Healthcare $565 - $1,903 635%
Viva Health $678 - $1,495 763%
Multiplan $734 - $1,994 826%
Standard Textile $791 - $1,744 890%
Alamed Wc $797 - $1,758 896%
Health Choice $825 - $1,819 928%
Equian $848 - $1,965 954%
Qhp $848 - $1,869 954%
Novanet $904 - $1,994 1017%
Alabama Work Comp $938 - $2,068 1055%
Ccn/Mednet Ppo $960 - $2,118 1080%
Corvel $960 - $2,118 1080%
Industry Buying Group $960 - $2,118 1080%
Galaxy Health $1,017 - $2,243 1144%
Health Payors Org $1,017 - $2,243 1144%
National Provider Net $1,017 - $2,243 1144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals