CMS Price Transparency Data

X-ray, ankle

Facility: Ochsner Choctaw General

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $118
Cash Discount Price: $122
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Ochsner Choctaw General is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $122 (137%)

Insurance Median: $118 (133%)

Cash: $122 (137% of Medicare)

Ins. Median: $118 (133% 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.

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
Humana	$6 - $236	7%
Prime Health Services Ppo	$9 - $419	10%
Blue Cross Blue Shield	$10 - $264	11%
UnitedHealthcare	$10 - $288	11%
Cigna	$13 - $288	15%
Aetna	$14 - $341	16%
Primewell Health Services Commercial Exchange Plan	$15 - $351	17%
Primewell Health Services – Commercial	$15 - $351	17%
Claritev D/B/A Multiplan/Phcs/American Life Care	$20 - $393	22%
Select Administrative Services Network	$24 - $367	27%
Zelis	$24 - $393	27%
Ambetter / Centene	$27 - $238	30%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$27 - $236	30%
Medicare (plans)	$27 - $271	30%
Shared Health Mississippi	$28 - $248	31%
Medicaid / KanCare	$31 - $106	35%
Prime Health Services Ppo -Workers Comp	$47 - $418	53%
Cor Vel	$48 - $427	54%

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 $122.
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 Ochsner Choctaw General 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.