CMS Price Transparency Data

X-ray, ankle

Facility: Rush Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $203
  • Cash Discount Price: $270
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Rush Memorial Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.28x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.
Cash / Self-Pay
$270

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $270 (304%)
Insurance Median: $203 (228%)
Cash: $270 (304% of Medicare)
Ins. Median: $203 (228% 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 228% of the Medicare baseline (a markup of 128%). 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
UnitedHealthcare $7 - $537 8%
Aetna $8 - $617 9%
Blue Cross Blue Shield $8 - $491 9%
Caresource Mcr Adv $8 - $208 9%
Consumers Life Ins-All Plans $8 - $604 9%
Humana $8 - $617 9%
My True Advantage - All Plans $8 - $208 9%
Today'S Option Mcr Adv-All Plans $8 - $214 9%
Viant Beech St Mcr Adv $8 - $214 9%
Caresource Marketplace-All Other Plans $11 - $333 12%
Multiplan-All Plans $11 - $624 12%
Encore Health Services-All Plans $14 - $657 16%
Siho-All Plans $14 - $617 16%
Phcs-All Plans $15 - $537 17%
Cigna $25 - $537 28%
Health Net $25 - $198 28%
Coventry/First Health-All Plans $35 - $604 39%
Sagamore-All Plans $617 694%
Community Health Alliance-All Plans $630 709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 N Main St, Rushville, IN 46173
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals