CMS Price Transparency Data

X-ray, ankle

Facility: Rockcastle County Hospital, Inc.

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $82
Cash Discount Price: $165
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Rockcastle County Hospital, Inc. is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.92x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $165 (186%)

Insurance Median: $82 (92%)

Cash: $165 (186% of Medicare)

Ins. Median: $82 (92% 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.

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
Passport Hp Hmo - All Plans	$14 - $103	16%
Caresource Mcaid	$22	25%
Coventry Mcaid-All Plans	$22	25%
Medicaid / KanCare	$22	25%
Molina Mcaid	$22	25%
UnitedHealthcare	$22 - $350	25%
Blue Cross Blue Shield	$35 - $287	39%
Multiplan-All Plans	$44 - $326	49%
Prime Health Services-All Plans	$44 - $326	49%
Integrated Hp-All Plans	$46 - $341	52%
Corvel - All Plans	$47 - $345	53%
Center Care-All Plans	$49 - $364	55%
Cigna	$50 - $372	56%
Tricare	$61	69%
Caresource Mcr Adv-All Other Plans	$82	92%
Humana	$82 - $322	92%
Molina Marketplace - All Other Plans	$82	92%
Molina Mcr Adv	$82	92%
Signature Mcr Adv-All Plans	$82	92%
Wellcare Mcr Adv-All Other Plans	$82	92%

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 $165.
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 Rockcastle County 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.