CMS Price Transparency Data

X-ray, ankle

Facility: Perry County Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $277
  • Cash Discount Price: $323
  • vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Perry County Memorial Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.12x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$323

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $323 (363%)
Insurance Median: $277 (312%)
Cash: $323 (363% of Medicare)
Ins. Median: $277 (312% 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 312% of the Medicare baseline (a markup of 212%). 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
Medicaid / KanCare $68 - $554 76%
Veterans Administration $92 - $554 103%
Bc 130 $96 - $443 108%
Group Insurance $96 - $554 108%
Medicare (plans) $96 - $144 108%
Workers Compensation $184 - $277 207%
Nsa $216 - $342 243%
Guarantor Liable $258 - $554 290%
Pcmh Insurnace $287 - $554 323%
Secondary Insurance $294 - $443 331%
UnitedHealthcare $294 - $443 331%
Operating Engineers $313 - $471 352%
Boilermakers Healthcare $320 - $482 360%
Cigna $320 - $482 360%
Great West $320 - $554 360%
Sagxxxx $320 - $482 360%
Champus $368 - $554 414%
Ngs American, Inc $368 - $554 414%
Patoka Valley $368 - $554 414%
Southwire $368 - $554 414%
Tricare $368 - $554 414%
Wausau Benefits $368 - $554 414%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals