CMS Price Transparency Data

X-ray, ankle

Facility: Abbeville General Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $222
  • Cash Discount Price: $222
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Abbeville General Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.50x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$222

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

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: $222 (250%)
Insurance Median: $222 (250%)
Cash: $222 (250% of Medicare)
Ins. Median: $222 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Cigna $20 - $419 22%
Blue Cross Blue Shield $33 - $154 37%
Ppo Plus Professional $38 43%
Self Pay $43 - $422 48%
Humana $56 - $633 63%
Triwest Healthcare Alliance $56 - $549 63%
Aetna $60 - $591 67%
Gilsbar Ppo $65 - $654 73%
Ppo Plus $65 - $633 73%
United Behavioral Health Inc $65 - $633 73%
Verity Healthnet National $65 - $633 73%
American Lifecare (Phcs) $67 - $675 75%
Guardian Resources $69 - $675 78%
UnitedHealthcare $69 - $675 78%
Coventry Company $73 - $718 82%
Galaxy Health Network $73 - $718 82%
Usa Managed Care $73 - $718 82%
Health Payors Organization $78 - $760 88%
Healthy Blue $78 88%
People'S Health $78 88%
Medicare (plans) $79 89%
Sierra Health And Life Insurance $79 89%
Sterling Life Insurance Company $79 89%
Miscellaneous Insurance $86 - $844 97%
Wellcare Of Louisiana $86 - $844 97%
Office Of Group Benefits $88 99%
Med-Comp Usa Inc $117 132%
Vantage Health Plan $155 - $1,519 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals