CMS Price Transparency Data

X-ray, ankle

Facility: Mercyone Dyersville Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $376
  • Cash Discount Price: $340
  • vs. Medicare Baseline: 4.23x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercyone Dyersville Medical Center is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.23x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$340

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

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: $340 (382%)
Insurance Median: $376 (423%)
Cash: $340 (382% of Medicare)
Ins. Median: $376 (423% 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 423% of the Medicare baseline (a markup of 323%). 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
Health Choices $158 - $237 178%
Blue Cross Blue Shield $232 - $348 261%
Medicare (plans) $236 - $387 265%
UnitedHealthcare $248 - $439 279%
The Alliance $254 - $381 286%
Iowa Total Care $290 - $435 326%
Geha $293 - $439 330%
Medicaid / KanCare $294 - $443 331%
Amish Hospital Aid $311 - $467 350%
1199 National Benefit Fund $346 - $519 389%
Aetna $346 - $519 389%
Allied Benefit Systems $346 - $519 389%
Asr Health Benefits $346 - $519 389%
Christian Brother Services $346 - $519 389%
Coventry $346 - $519 389%
First Health $346 - $519 389%
Luminare Health $346 - $519 389%
Medical Mutual $346 - $519 389%
Meritain $346 - $519 389%
Trustmark Small Business Benefits $346 - $519 389%
Webtpa $346 - $519 389%
Auxiant $376 - $564 423%
Cigna $376 - $564 423%
Medica $376 - $564 423%
Midlands $376 - $564 423%
Midlands Choice $376 - $564 423%
Multiplan $376 - $564 423%
Ambetter / Centene $393 - $590 442%
Crime Victim Assistance $418 - $627 470%
Iowa Dept Of Public Health $418 - $627 470%
Claimdoc $470 - $706 529%
Nova $470 - $706 529%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals