CMS Price Transparency Data

X-ray, ankle

Facility: Bluffton Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $95
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Bluffton Regional Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $60 (67%)
Insurance Median: $95 (107%)
Cash: $60 (67% of Medicare)
Ins. Median: $95 (107% 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
Amish Aid $6 - $270 7%
Physicians Health Plan $6 - $63 7%
Self Pay $6 - $618 7%
Lutheran Preferred Network $7 - $898 8%
Cigna $8 - $398 9%
Php $8 - $72 9%
Php Freedom Network $8 - $107 9%
Aetna $9 - $501 10%
Php Management Systems $9 - $435 10%
UnitedHealthcare $11 - $555 12%
Encore Ppo $12 - $549 13%
Sagamore Sebt $12 - $574 13%
Sagamore Health Newtork Inc $13 - $602 15%
Consumer Life $15 - $696 17%
Ahg Dana Employees $16 - $730 18%
Align Networks $17 - $786 19%
Prime Health Services $18 - $842 20%
Private Healthcare Systems Inc $18 - $842 20%
Multiplan $19 - $898 21%
Advantage 360 $20 - $932 22%
Community Health Alliance $20 - $955 22%
Encore Health Network $20 - $1,011 22%
First Health $21 - $966 24%
Allied Benefit Systems $22 - $1,011 25%
Cardinal Health Alliance $22 - $1,011 25%
Ppom $22 - $1,011 25%
Veterans Eval Services $24 - $81 27%
Blue Cross Blue Shield $68 - $378 76%
Caresource $68 76%
Humana $68 - $92 76%
Medicaid / KanCare $68 76%
Mhs $68 76%
Mhs In Hip $68 76%
Tricare $87 98%
Medicare (plans) $91 102%
Node Iu Health Mcr Adv $91 102%
Node Mhs Mcr Adv $91 102%
Department Of Veterans Affairs $92 103%
Node Caresource Mcr Adv $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Non Par Hospice Agree $92 103%
Node Va $92 103%
Northeast Hospice $92 103%
County Jail Health Care $96 108%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Lutheran Three Rivers Preferred Plus 150 $138 155%
Lutheran Trma $150 - $158 169%
Lutheran Three Rivers Preferred Plus 175 $161 181%
Encore Work Comp In $166 187%
Lutheran Northwest Health Preferred $184 207%
Managed Health Services Exchange $184 207%
Workers Compensation $184 207%
Encore Kba Epo $221 249%
Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals