CMS Price Transparency Data

X-ray, ankle

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $369
Cash Discount Price: $298
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Uofl Health - Shelbyville Hospital is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.15x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $298 (335%)

Insurance Median: $369 (415%)

Cash: $298 (335% of Medicare)

Ins. Median: $369 (415% 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 415% of the Medicare baseline (a markup of 315%). 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	$68 - $446	76%
Passport	$71 - $518	80%
Humana	$76 - $175	85%
Senior Care Communty Of Ky	$80	90%
Cigna	$83	93%
Essence Health	$83	93%
Va Ccn	$83	93%
Devoted	$84	94%
Signature	$85 - $518	96%
UnitedHealthcare	$85 - $495	96%
Wellcare	$85 - $166	96%
Communicare	$87	98%
Aetna	$89 - $175	100%
Velocity	$99 - $1,016	111%
Key Benefit Administrators	$107	120%
Prime Group Health	$188 - $881	211%
Encore	$318 - $622	358%
Multiplan	$350 - $933	394%
Omca	$504 - $985	567%
Corvel	$530 - $1,037	596%
Cshn	$530 - $1,037	596%
Health Smart	$530 - $1,037	596%
National Comp Care	$530 - $1,037	596%

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 $298.
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 Uofl Health - Shelbyville 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.