CMS Price Transparency Data

X-ray, ankle

Facility: Dukes Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $68
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Dukes Memorial Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.76x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $169 (190%)
Insurance Median: $68 (76%)
Cash: $169 (190% of Medicare)
Ins. Median: $68 (76% 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
Department Of Veterans Affairs $4 - $120 4%
Tricare $4 - $120 4%
Aetna $5 - $308 6%
Blue Cross Blue Shield $5 - $378 6%
Humana $5 - $128 6%
In Dept Of Correction $5 - $135 6%
Iu Health Plan $5 - $128 6%
Managed Health Services $5 - $259 6%
Medicare (plans) $5 - $128 6%
Miami County Sheriffs Department $5 - $135 6%
Node Devoted Health Mcr Adv $5 - $130 6%
Node Pphp Mcr Adv $5 - $136 6%
Node Va $5 - $313 6%
UnitedHealthcare $5 - $319 6%
Lutheran Advanced Network $7 - $194 8%
Lutheran Three Rivers Preferred Plus 150 $7 - $194 8%
Node Lutheran Preferred Fixed 2 $7 - $194 8%
Align Network $8 - $207 9%
Lutheran Preferred $8 - $518 9%
Lutheran Three Rivers Preferred Plus 175 $8 - $227 9%
Encore Work Comp In $9 - $233 10%
Partners Direct Health Llc $9 - $246 10%
Prime Health Services $9 - $486 10%
Cigna $10 - $648 11%
Lutheran Northwest Health Preferred $10 - $259 11%
Physicians Health Plan $10 - $302 11%
Work Comp $10 - $259 11%
Php Freedom $11 - $299 12%
Three Rivers Preferred $11 - $292 12%
Amish Aid $12 - $324 13%
Encore Kba Epo $12 - $311 13%
Encore Ppo $12 - $324 13%
Self Pay $12 - $356 13%
Sagamore Health Network $13 - $359 15%
Encore Kba Ppo $14 - $389 16%
Consumer Life $15 - $402 17%
First Health $19 - $518 21%
Multiplan $19 - $525 21%
Advantage Health Solutions $20 - $538 22%
Encore Health Network $20 - $531 22%
Encore $22 - $583 25%
Veterans Eval Services $24 - $81 27%
One Call Wc $34 38%
Caresource $53 - $68 60%
Us Department Of Labor $57 64%
Medicaid / KanCare $68 76%
Mhs $68 76%
Three Rivers Preferred Plus $150 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals