CMS Price Transparency Data

X-ray, ankle

Facility: Wabash General Hospital 1

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $135
  • Cash Discount Price: $269
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Wabash General Hospital 1 is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.52x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.
Cash / Self-Pay
$269

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $269 (303%)
Insurance Median: $135 (152%)
Cash: $269 (303% of Medicare)
Ins. Median: $135 (152% 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
Blue Cross Blue Shield $46 - $330 52%
UnitedHealthcare $49 - $304 55%
Health Alliance Mcr Adv - All Plans $50 - $120 56%
Aetna $104 - $323 117%
Healthlink Hmo $110 - $266 124%
Cigna $118 - $285 133%
Encore Combined Ip/Op Only $118 - $285 133%
Hope Trust - All Plans $118 - $285 133%
Healthlink Ppo - All Other Plans $126 - $304 142%
Phcs - All Plans $126 - $304 142%
Health Smart - All Plans $134 - $323 151%
Hfn - All Plans $134 - $323 151%
Multiplan - All Plans $134 - $323 151%
Siho Network - All Plans $134 - $323 151%
Meridian Mcaid - All Plans $136 153%
Molina Mcaid - All Plans $136 153%
Encore Health Network Ip/Op Only - All Other Plans $142 - $342 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1418 College Drive, Mount Carmel, IL 62863
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals