CMS Price Transparency Data

X-ray, ankle

Facility: Cherokee Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $142
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Cherokee Regional Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.60x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

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: $128 (144%)
Insurance Median: $142 (160%)
Cash: $128 (144% of Medicare)
Ins. Median: $142 (160% 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
Aetna $75 - $142 84%
Blue Cross Blue Shield $75 - $142 84%
Health Partners $75 - $142 84%
Humana $75 - $142 84%
UnitedHealthcare $75 - $142 84%
Wellpoint $75 - $142 84%
Iowa Total Care $78 - $142 88%
Molina $78 - $142 88%
Admin Concepts $142 160%
American Republic $142 160%
Apw $142 160%
Auxiant $142 160%
Avera $142 160%
Bankers Life $142 160%
Champus $142 160%
Cigna $142 160%
Liability $142 160%
Meridian $142 160%
Meritain $142 160%
Midlands $142 160%
Mutual Of Omaha $142 160%
Occunet $142 160%
Physicians Mutual $142 160%
Private Healthcare $142 160%
Sanford $142 160%
United American $142 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals