CMS Price Transparency Data

X-ray, ankle

Facility: Jacksonville Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $439
Cash Discount Price: $744
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Jacksonville Memorial Hospital is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.94x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$744

Average discount available for prompt cash payment at this facility.

Insurance Median

$439

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: $744 (837%)

Insurance Median: $439 (494%)

Cash: $744 (837% of Medicare)

Ins. Median: $439 (494% 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 494% of the Medicare baseline (a markup of 394%). 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	$32 - $854	36%
Tricare	$33 - $156	37%
Coventry	$34 - $134	38%
Health Alliance	$34 - $581	38%
Humana	$34 - $728	38%
Medicare (plans)	$34 - $134	38%
UnitedHealthcare	$36 - $615	40%
Corvel/Corcare	$95 - $167	107%
Illinois Workers Compensation	$102 - $197	115%
Medicaid / KanCare	$110	124%
Molina Healthcare	$110	124%
Commercial Workers Compensation	$188	211%
Health Alliance Mh Employee Plan	$292 - $393	328%
Current Health Network	$349 - $640	393%
6 Degrees Health	$380 - $512	427%
Hope Trust	$380 - $512	427%
Hst	$380 - $512	427%
Cigna	$439 - $592	494%
Aetna	$443 - $683	498%
Healthlink	$539 - $726	606%
Phcs/Multiplan	$571 - $769	642%
Hfn	$602 - $811	677%
Liability	$634 - $854	713%

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 $744.
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 Jacksonville Memorial Hospital 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.