CMS Price Transparency Data

X-ray, ankle

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $278
Cash Discount Price: $306
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Cameron Memorial Community Hospital Inc is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $306. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.13x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$306

Average discount available for prompt cash payment at this facility.

Insurance Median

$278

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: $306 (344%)

Insurance Median: $278 (313%)

Cash: $306 (344% of Medicare)

Ins. Median: $278 (313% 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 313% of the Medicare baseline (a markup of 213%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$18 - $479	20%
Caresource Indiana Of In	$18 - $282	20%
Managed Health Services	$18 - $33	20%
Mdwise	$18 - $33	20%
UnitedHealthcare	$20 - $603	22%
Aetna	$25 - $661	28%
Cigna	$25 - $661	28%
Corvel	$25 - $712	28%
Encore	$25 - $705	28%
Humana	$25 - $661	28%
Phcs	$25 - $574	28%
Plain Church Group Ministry	$25 - $299	28%
Sagamore Health Network	$25 - $591	28%
Coventry	$30 - $674	34%
Lucent	$35 - $416	39%
Signature Care	$35 - $674	39%
Centivo	$39 - $416	44%
Php	$44 - $581	49%
Frontpath	$46 - $704	52%
Three Rivers Preferred	$50 - $5,000	56%
Lutheran Preferred	$53 - $689	60%

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 $306.
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 Cameron Memorial Community Hospital Inc 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.