CMS Price Transparency Data
X-ray, ankle
Facility: Avoyelles Hospital
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $378
- Cash Discount Price: $170
- vs. Medicare Baseline: 4.25x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Avoyelles Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.25x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$170
Average discount available for prompt cash payment at this facility.
Insurance Median
$378
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: $170 (191%)
Insurance Median: $378 (425%)
Cash: $170 (191% of Medicare)
Ins. Median: $378 (425% 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 425% of the Medicare baseline (a markup of 325%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $38 - $424 | 43% |
| Amer Contl Ins | $38 - $424 | 43% |
| Coventry | $38 - $424 | 43% |
| First Choice Health | $38 - $424 | 43% |
| Meritan Health | $38 - $755 | 43% |
| Cigna | $79 - $426 | 89% |
| Correct Cr Int Hlt | $79 - $157 | 89% |
| Mcd Amerihealth Caritas | $79 - $157 | 89% |
| Mcd Healthy Blue | $79 - $157 | 89% |
| Mcd La Hc Conn | $79 - $157 | 89% |
| Medicaid / KanCare | $79 - $157 | 89% |
| UnitedHealthcare | $79 - $157 | 89% |
| Mcd Ms | $86 - $173 | 97% |
| Student Assurances | $113 - $755 | 127% |
| Blue Cross Blue Shield | $125 | 141% |
| Ofc Of Grp Bene | $125 | 141% |
| Humana | $136 - $428 | 153% |
| Ppo Plus Llc | $226 - $453 | 254% |
| Zelis Healthcare Bpa | $226 - $453 | 254% |
| Gilsbar | $238 - $476 | 268% |
| Amerind | $340 - $680 | 382% |
| Applied Underwriters | $340 - $680 | 382% |
| Sedgwick | $340 - $680 | 382% |
| Us Dept Of Labor | $340 - $680 | 382% |
| Wc Clms Admin Svcs | $340 - $680 | 382% |
| Wc Clms Mgmnt Walmart | $340 - $680 | 382% |
| Wc Esis | $340 - $680 | 382% |
| Wc Fara | $340 - $680 | 382% |
| Wc Gallagher Bassett | $340 - $680 | 382% |
| Wc Guide One | $340 - $680 | 382% |
| Wc Hartford Med | $340 - $680 | 382% |
| Wc Luba | $340 - $680 | 382% |
| Wc Lwcc | $340 - $680 | 382% |
| Wc Paragon Casino Resort | $340 - $680 | 382% |
| Wc Risk Mgmnt | $340 - $680 | 382% |
| Wc Stone Trust | $340 - $680 | 382% |
| Wc Summit Consulting Hold | $340 - $680 | 382% |
| Wc Travelers Ins | $340 - $680 | 382% |
| Wc Trs Workers Comp Claim | $340 - $680 | 382% |
| Wc Us Dol | $340 - $680 | 382% |
| Wc Zurich | $340 - $680 | 382% |
| Aarp | $378 - $755 | 425% |
| Admin Concepts | $378 - $755 | 425% |
| All Saints Hospice | $378 - $755 | 425% |
| All State | $378 - $755 | 425% |
| Allegiance Health Hospice | $378 - $755 | 425% |
| Allied Natl | $378 - $755 | 425% |
| Amfirst | $378 - $755 | 425% |
| Avoy Parish School Board | $378 - $755 | 425% |
| Avoyelles Parish Sheriff | $378 - $755 | 425% |
| Bollinger | $378 - $755 | 425% |
| Ccmsi | $378 - $755 | 425% |
| Central States | $378 - $755 | 425% |
| Christus Health Plan | $378 - $755 | 425% |
| Compassionate Care Hospic | $378 - $755 | 425% |
| Core Source | $378 - $755 | 425% |
| Coushatta Hlth Dept | $378 - $755 | 425% |
| Ebms | $378 - $755 | 425% |
| Federated Ins | $378 - $755 | 425% |
| Feedom Life | $378 - $755 | 425% |
| Fidelity Standard Life Co | $378 - $755 | 425% |
| Fox Everette | $378 - $755 | 425% |
| Guarantee Trust | $378 - $755 | 425% |
| Heart Of Hospice | $378 - $755 | 425% |
| Hos Christus Hospice | $378 - $755 | 425% |
| Hos Guardian Hospice Care | $378 - $755 | 425% |
| Hos Harbor Hospice Alex | $378 - $755 | 425% |
| Hos La Hospice Palliative | $378 - $755 | 425% |
| Hos Passages Hospice N. | $378 - $755 | 425% |
| Hos St Joseph Hospice | $378 - $755 | 425% |
| Hospice Miscellaneous | $378 - $755 | 425% |
| Ins Mgmnt Admin | $378 - $755 | 425% |
| Ins Tpa | $378 - $755 | 425% |
| Liberty Health Share | $378 - $755 | 425% |
| Lumico | $378 - $755 | 425% |
| Manhattan Life Ins | $378 - $755 | 425% |
| Medi Share | $378 - $755 | 425% |
| Misc Comm | $378 - $755 | 425% |
| Nalc | $378 - $755 | 425% |
| New Era Life | $378 - $755 | 425% |
| North American | $378 - $755 | 425% |
| Phcs | $378 - $755 | 425% |
| Physicians Mutual | $378 - $755 | 425% |
| Pipeline Ind Bene | $378 - $755 | 425% |
| Progressive Auto | $378 - $755 | 425% |
| Reliance Standard Life | $378 - $755 | 425% |
| Rural Carriers | $378 - $755 | 425% |
| Shelter Ins Co | $378 - $755 | 425% |
| Sierre Health And Life | $378 - $755 | 425% |
| State Farm | $378 - $755 | 425% |
| State Mutual | $378 - $755 | 425% |
| Sterling Investors | $378 - $755 | 425% |
| The Health Plan | $378 - $755 | 425% |
| Tribal Hlth Partners | $378 - $755 | 425% |
| Tricare | $378 - $755 | 425% |
| Trustmark Health Benefits | $378 - $755 | 425% |
| Tunica Biloxi | $378 - $755 | 425% |
| Uct | $378 - $755 | 425% |
| Unified Life | $378 - $755 | 425% |
| Usaa Life Ins | $378 - $755 | 425% |
| Web-Tpa | $378 - $755 | 425% |
| Woodmen Of The World | $378 - $755 | 425% |