CMS Price Transparency Data

X-ray, ankle

Facility: Warner Hospital and Health Services

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $416
Cash Discount Price: $612
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Warner Hospital and Health Services is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $612. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.68x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$612

Average discount available for prompt cash payment at this facility.

Insurance Median

$416

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: $612 (688%)

Insurance Median: $416 (468%)

Cash: $612 (688% of Medicare)

Ins. Median: $416 (468% 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 468% of the Medicare baseline (a markup of 368%). 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	$195 - $720	219%
Aetna	$201 - $624	226%
Health Alliance Med Adv	$201 - $301	226%
Humana	$201 - $624	226%
Molina Mcr/Mcd Dual	$201 - $301	226%
UnitedHealthcare	$201 - $624	226%
Wellcare Mcr Adv-All Plans	$201 - $301	226%
Harmony Hp Mcaid-All Plans	$213	240%
Medicaid / KanCare	$213	240%
Meridian Hp-All Plans	$213	240%
Molina-All Other Plans	$213	240%
Healthlink Hmo	$382 - $573	430%
City Of Clinton (Employees Serv)-All Plans	$392 - $588	441%
Cigna	$407 - $610	458%
Caterpillar-All Plans	$416 - $624	468%
Multiplan Phcs-All Plans	$416 - $624	468%
Health Alliance-All Other Plans	$431 - $647	485%
Healthlink Ppo/Work Comp-All Other Plans	$431 - $647	485%
Consociate Care Ppo-All Plans	$441 - $661	496%
Hfn Ppo/Epo-All Plans	$441 - $661	496%
Three Rivers-All Plans	$465 - $698	523%

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 $612.
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 Warner Hospital and Health Services 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.