CMS Price Transparency Data

X-ray, ankle

Facility: Franciscan Health Mooresville

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $564
Cash Discount Price: $307
vs. Medicare Baseline: 6.34x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Franciscan Health Mooresville is $564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.34x the Medicare baseline. Located in 1201 Hadley Rd, Mooresville, IN.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$564

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: $307 (345%)

Insurance Median: $564 (634%)

Cash: $307 (345% of Medicare)

Ins. Median: $564 (634% 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 634% of the Medicare baseline (a markup of 534%). 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
Mdwise [1175]	$68	76%
Medicaid / KanCare	$68 - $82	76%
Managed Health Services [1302]	$70	79%
Blue Cross Blue Shield	$73 - $391	82%
Unicare [1150]	$73 - $391	82%
Medicare (plans)	$92 - $101	103%
Workers Comp [1172]	$184	207%
Aetna	$186 - $1,109	209%
Managed Care [2000]	$186 - $1,530	209%
Commercial [2001]	$322 - $1,610	362%
UnitedHealthcare	$478 - $976	538%
United Medical Resources [1158]	$488 - $976	549%
United Medical Resources [1301]	$488 - $976	549%
Cigna	$513 - $1,026	577%
Great West Insurance [1055]	$523 - $1,046	588%
Humana	$561 - $1,122	631%

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 $307.
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 Franciscan Health Mooresville 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.