CMS Price Transparency Data

X-ray, ankle

Facility: Norton-King's Daughters' Health

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $313
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 3.52x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Norton-King's Daughters' Health is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.52x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $88 (99%)
Insurance Median: $313 (352%)
Cash: $88 (99% of Medicare)
Ins. Median: $313 (352% 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 352% of the Medicare baseline (a markup of 252%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $7 - $351 8%
Blue Cross Blue Shield $18 - $295 20%
Managed Health Services Of Indiana $18 20%
UnitedHealthcare $18 - $313 20%
Humana $92 103%
Managed Health Services $95 - $143 107%
Caresource Of Kentucky $129 145%
Caresource Of Indiana $138 155%
Custom Design Benefits $184 - $200 207%
Cigna $339 381%
Encore $339 381%
Quality Care Partners $355 399%
Bluegrass $359 404%
First Health $359 404%
Healthlink $359 404%
Vha/Tristate $359 404%
Multiplan/Phcs $367 413%
Indiana Health Network $379 426%
Siho $379 426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals