CMS Price Transparency Data

X-ray, ankle

Facility: Kosciusko Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $78
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Kosciusko Community Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $34 (38%)
Insurance Median: $78 (88%)
Cash: $34 (38% of Medicare)
Ins. Median: $78 (88% 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 $5 - $168 6%
Self Pay $5 - $313 6%
Lutheran Preferred Network $8 - $642 9%
Php Freedom Network $9 - $310 10%
Physicians Health Plan $9 - $370 10%
UnitedHealthcare $9 - $422 10%
Aetna $10 - $427 11%
Encore $10 - $321 11%
Connecticut General Life Insurance Company $14 - $472 16%
Cigna $15 - $507 17%
First Health Network $18 - $602 20%
Prime Health Services $18 - $602 20%
Advantage Health $20 - $666 22%
Private Healthcare Systems $21 - $690 24%
Sagamore $21 - $754 24%
Encore Health Network $22 - $746 25%
Veterans Eval Services $24 - $81 27%
One Call Care Diagnostics Wc $34 38%
Caresource $53 - $68 60%
Blue Cross Blue Shield $68 - $378 76%
Humana $68 - $97 76%
Managed Health Services $68 76%
Medicaid / KanCare $68 76%
Mhs $68 - $97 76%
Tricare $87 98%
Department Of Veterans Affairs $92 103%
Medicare (plans) $97 109%
Iu Health $99 111%
Node Devoted Health Mcr Adv $99 111%
Node Non Par Hospice Agree $99 111%
Node Va $99 111%
In Dept Of Correction $103 116%
Node Pphp Mcr Adv $104 117%
Us Department Of Labor $123 138%
Lutheran Advanced Network $148 166%
Lutheran Preferred $148 - $197 166%
Trma Inc $150 - $158 169%
Align In Work Comp $158 178%
One Call Work Comp $158 178%
Encore Work Comp In $178 200%
Managed Health Services Exchange $197 222%
Workers Comp $197 222%
Encore Kba Epo $237 267%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals