CMS Price Transparency Data

X-ray, ankle

Facility: Norton Scott Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $248
Cash Discount Price: $88
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Norton Scott Hospital is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.79x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$248

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: $88 (99%)

Insurance Median: $248 (279%)

Cash: $88 (99% of Medicare)

Ins. Median: $248 (279% 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 279% of the Medicare baseline (a markup of 179%). 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
Caresource Indiana Healthy Indiana Plan (Hip)	$18	20%
Caresource Indiana Hoosier Healthwise (Hhw)	$18	20%
Managed Health Services (Mhs)	$18 - $106	20%
Managed Health Services (Mhs) Hoosier Care Connect	$18	20%
Mdwise Hoosier Healthwise (Hhw)	$18	20%
UnitedHealthcare	$18 - $263	20%
Molina Healthcare	$91 - $93	102%
Blue Cross Blue Shield	$97 - $259	109%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$106	119%
Mdwise Healthy Indiana Plan (Hip)	$106	119%
Communicare Advantage	$109	123%
Caresource Indiana Just4Me	$159	179%
Aetna	$278	313%
Multiplan	$353 - $375	397%
Cigna	$375	422%
Encore Health Network	$375	422%
Prime Health	$375	422%
Ppom	$388	436%
Intercommunity Health Network (Ihn)	$397	447%

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 $88.
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 Norton Scott 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.