CMS Price Transparency Data

X-ray, ankle

Facility: Pulaski Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $33
Cash Discount Price: $34
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Pulaski Memorial Hospital is $33. 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 0.37x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $33 (37%)

Cash: $34 (38% of Medicare)

Ins. Median: $33 (37% 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.

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
UnitedHealthcare	$7 - $344	8%
Ambetter / Centene	$8 - $135	9%
Blue Cross Blue Shield	$8 - $289	9%
Caresource Mcaid Hip	$8 - $135	9%
Caresource Mcare Hmo	$8 - $135	9%
Cenpatico Mcaid Hip	$8 - $135	9%
Humana	$8 - $350	9%
Mdwise Mcaid Hcc	$8 - $18	9%
Mdwise Mcaid Hhw	$8 - $18	9%
Mdwise Mcaid Hip - All Other Plans	$8 - $135	9%
Mhs Mcaid Hip	$8 - $135	9%
Mhs Mcare Allwell	$8 - $136	9%
Multiplan - All Plans	$8 - $392	9%
Caresource Exch Hmo Hix - All Other Plans	$10 - $169	11%
Encore Ppo - All Other Plans	$12 - $370	13%
Cigna	$13 - $413	15%
Sagamore - All Other Plans	$13 - $329	15%
Sagamore Rose Acre	$13 - $324	15%
Community Health Alliance - All Plans	$16 - $387	18%
Caresource Mcaid Hhw	$18 - $33	20%
Cenpatico Mcaid Hhw - All Other Plans	$18 - $33	20%
Mhs Mcaid Hhw/Hcc	$18 - $33	20%
Encore Workers Comp	$22 - $392	25%
Aetna	$157	177%

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 $34.
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 Pulaski Memorial Hospital 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.