CMS Price Transparency Data

X-ray, ankle

Facility: Marion Communtiy Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $771
Cash Discount Price: $2,616
vs. Medicare Baseline: 8.67x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Marion Communtiy Hospital is $771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,616. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.67x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$2,616

Average discount available for prompt cash payment at this facility.

Insurance Median

$771

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: $2,616 (2942%)

Insurance Median: $771 (867%)

Cash: $2,616 (2942% of Medicare)

Ins. Median: $771 (867% 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 867% of the Medicare baseline (a markup of 767%). 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
United	$182 - $1,736	205%
Avmed	$244 - $1,080	274%
Simply	$313 - $594	352%
Molina Healthcare	$386 - $1,234	434%
Corvel Corporation	$394	443%
Prime Health	$402	452%
Humana	$406 - $771	457%
Careworks (Rockport Community)	$415	467%
Marion County Schools	$415	467%
Evolutions	$467 - $887	525%
Evolutions Healthcare	$467 - $887	525%
Sunshine State Health Plan	$518 - $984	583%
Aetna	$609 - $1,157	685%
Plotkin Health	$1,016 - $1,929	1143%
Prime Health Sheriff	$1,016 - $1,929	1143%
Multiplan	$1,584 - $3,009	1782%
Ppo Next	$1,727 - $3,279	1942%
Novanet	$1,828 - $3,472	2056%

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 $2,616.
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 Marion Communtiy Hospital 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.