CMS Price Transparency Data

X-ray, ankle

Facility: St Marys Good Samaritan Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $97
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at St Marys Good Samaritan Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.09x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $196 (220%)
Insurance Median: $97 (109%)
Cash: $196 (220% of Medicare)
Ins. Median: $97 (109% 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.

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
Peach State $26 29%
Wellcare $26 - $97 29%
Blue Cross Blue Shield $47 - $261 53%
Aetna $65 - $289 73%
Ambetter / Centene $65 - $97 73%
Care Improvement Plus $65 - $97 73%
Caresource $65 - $97 73%
Cigna $65 - $296 73%
Coventry $65 - $271 73%
Eon Health Plan $65 - $97 73%
Humana $65 - $271 73%
Kaiser Permanente $65 - $97 73%
Molina $65 - $97 73%
Pruitthealth Premier $65 - $97 73%
Todays Options Pffs $65 - $97 73%
Todays Options Ppo $65 - $97 73%
UnitedHealthcare $65 - $2,632 73%
Vaccn United $65 - $97 73%
First Health $181 - $271 204%
Phcs $181 - $271 204%
Meritain $193 - $289 217%
Multiplan $205 - $314 231%
Nova $205 - $325 231%
Three Rivers Provider Network $217 - $325 244%
Amerigroup $241 - $361 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals