CMS Price Transparency Data
X-ray, ankle
Facility: Mercy Hospital Ozark
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $256
- Cash Discount Price: $450
- vs. Medicare Baseline: 2.88x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercy Hospital Ozark is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $450. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.88x the Medicare baseline. Located in 801 West River Street, Ozark, AR.
Cash / Self-Pay
$450
Average discount available for prompt cash payment at this facility.
Insurance Median
$256
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: $450 (506%)
Insurance Median: $256 (288%)
Cash: $450 (506% of Medicare)
Ins. Median: $256 (288% 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 288% of the Medicare baseline (a markup of 188%). 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 |
|---|---|---|
| Medicaid / KanCare | $18 - $353 | 20% |
| Summit Community Care Contracted [320368] | $18 | 20% |
| Summit Community Care [20368] | $18 | 20% |
| Novasys Contracted [320285] | $38 - $353 | 43% |
| Arkansas Total Care Contracted [320039] | $41 | 46% |
| Blue Cross Blue Shield | $105 - $256 | 118% |
| Usable Contracted [320409] | $105 | 118% |
| Qual Choice Contracted [320324] | $136 | 153% |
| Aetna | $152 - $566 | 171% |
| American Health Advantage Of Mo Mcr [20264] | $152 - $256 | 171% |
| Cherokee Nation Health Serv Contracted [320066] | $152 - $256 | 171% |
| Cross Timbers Hospice [20098] | $152 - $256 | 171% |
| Dept Of Veteran Affairs Contracted [320106] | $152 - $256 | 171% |
| Elara Caring Aspire Hospice Contracted [320433] | $152 - $256 | 171% |
| Elara Caring Aspire Hospice [20433] | $152 - $256 | 171% |
| Globalhealth Contracted [320145] | $152 - $256 | 171% |
| Halo Hcr Inc Hospice Contracted [320432] | $152 - $256 | 171% |
| Halo Hcr Inc Hospice [20432] | $152 - $256 | 171% |
| Humana | $152 - $740 | 171% |
| Independent Health [20197] | $152 - $256 | 171% |
| Indian Health Service Contracted [320198] | $152 - $256 | 171% |
| Indian Health Service [20198] | $152 - $256 | 171% |
| Jordan Valley Senior Care Pace [20515] | $152 - $256 | 171% |
| Kindful Hospice Contracted [320434] | $152 - $256 | 171% |
| Kindful Hospice [20434] | $152 - $256 | 171% |
| Medical Associates Health [20444] | $152 - $256 | 171% |
| Medicare (plans) | $152 - $269 | 171% |
| Mercy Hospice Okc [20252] | $152 - $256 | 171% |
| Pace Of The Ozarks [20518] | $152 - $256 | 171% |
| Provider Partners Health Plans Contracted [320450] | $152 - $256 | 171% |
| Qual Choice Contracted [320325] | $152 - $256 | 171% |
| Spina Bifida Hlthcare Benefit [20506] | $152 - $256 | 171% |
| Tricare | $152 - $257 | 171% |
| UnitedHealthcare | $152 - $256 | 171% |
| Valir Pace [20503] | $152 - $256 | 171% |
| Wellfirst Health Mcr [20443] | $152 - $256 | 171% |
| Cigna | $159 - $740 | 179% |
| Mercy Interfacility [20513] | $169 - $286 | 190% |
| United Medical Resources Contracted [320454] | $180 | 202% |
| Ambetter / Centene | $209 - $353 | 235% |
| Home State Health Plan Contracted [320187] | $209 - $353 | 235% |
| Auxiant Contracted [320462] | $309 - $784 | 348% |
| Mercy Benefit Admin Contracted [320251] | $309 - $784 | 348% |
| Workers Comp [20426] | $335 - $566 | 377% |
| 90 Degree Benefits Contracted [320436] | $438 - $740 | 493% |
| Aither Health Contracted [320449] | $438 - $740 | 493% |
| Ebms Contracted [320493] | $438 - $740 | 493% |
| Edison Health Solutions Contracted [320502] | $438 - $740 | 493% |
| Healthlink Contracted [320179] | $438 - $784 | 493% |
| Imagine 360 Contracted [320494] | $438 - $740 | 493% |
| Multiplan Contracted [320270] | $438 - $740 | 493% |
| Multiplan [20270] | $438 - $740 | 493% |
| Municipal Health Plan Contracted [320271] | $438 - $740 | 493% |
| Reflect Health Contracted [320492] | $438 - $740 | 493% |
| Show-Me Health Administrators Contracted [320483] | $438 - $740 | 493% |
| Federal Medical Center Contracted [320127] | $464 - $784 | 522% |
| Healthscope Contracted [320182] | $464 - $784 | 522% |
| Insurance System Inc Contracted [320465] | $464 - $784 | 522% |
| Personify Health Contracted [320051] | $464 - $784 | 522% |
| Point C Contracted [320238] | $464 - $784 | 522% |
| Preferred Health Plan Contracted [320522] | $464 - $784 | 522% |
| Tri State Healthcare Coalition Contracted [320379] | $464 - $784 | 522% |