CMS Price Transparency Data

X-ray, ankle

Facility: Memorial Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $512
Cash Discount Price: $854
vs. Medicare Baseline: 5.76x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Memorial Medical Center is $512. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $854. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.76x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$854

Average discount available for prompt cash payment at this facility.

Insurance Median

$512

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: $854 (961%)

Insurance Median: $512 (576%)

Cash: $854 (961% of Medicare)

Ins. Median: $512 (576% 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 576% of the Medicare baseline (a markup of 476%). 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
Blue Cross Blue Shield	$34 - $854	38%
Healthlink	$48 - $538	54%
Veterans Administration	$66	74%
Medicaid / KanCare	$70	79%
Molina	$72	81%
Aetna	$92 - $649	103%
Health Alliance	$92 - $555	103%
Medicare (plans)	$92 - $854	103%
Tricare	$92	103%
UnitedHealthcare	$92 - $529	103%
Humana	$96 - $512	108%
Commercial Workers Compensation	$185	208%
Illinois Workers Compensation	$194	218%
Current Health Network Ppo	$384	432%
Cigna	$448	504%
Phcs/Multiplan	$461 - $512	519%
6 Degrees Health	$512	576%
Hopetrust	$512	576%
Hst	$512	576%
Magellan	$512	576%
Consociate	$555	624%
Hfn	$555	624%
Preferred Plan	$640	720%
Soi Mcfarland	$640	720%
Soi Rushville	$640	720%
Corvel	$683	768%
Methodist First Choice	$683	768%
Mutual Medical Plans	$726	817%
Liability	$854	961%

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 $854.
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 Memorial Medical Center 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.