CMS Price Transparency Data

X-ray, ankle

Facility: Mercy Health Lakeshore Campus

Billing Code: 73610 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$19
about 0.2× the $89 Medicare rate · typically $19–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Well above the fair price
about $20 over the fair price · 0.4× Medicare
Medicare pays $89 Fair price $19 This hospital $39 Hospital's list price $189

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $39

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, ankle is about $19 (about 0.2× the $89 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $39 — well above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19 - $391 21%
Blue Cross Blue Shieldmajor $18 - $371 20%
Aetnamajor $18 - $345 20%
Cignamajor $18 - $377 20%
Humanamajor $18 - $388 20%
Kaiser Permanentemajor $247 - $371 278%
Ambetter (Centene) $18 - $24 20%
AmeriHealth $39 - $388 44%
CareSource $258 - $387 290%
Dean Health Plan $36 - $373 40%
GEHA $25 - $391 28%
Health Net $18 - $52 20%
HealthPartners $18 - $28 20%
MagnaCare $39 - $56 44%
Medical Mutual $39 - $388 44%
Meridian $18 - $24 20%
Molina $18 - $181 20%
MVP Health Care $36 - $373 40%
Oscar Health $36 - $133 40%
Paramount $18 - $373 20%
Presbyterian $18 - $24 20%
Priority Health $46 - $391 52%
Tufts Health Plan $18 - $28 20%
UniCare $39 - $388 44%
WellSense $18 - $24 20%
+ 355 smaller / regional plans $18 - $398
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals