CMS Price Transparency Data

X-ray, ankle

Facility: Northeast Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $747
  • Cash Discount Price: $735
  • vs. Medicare Baseline: 8.40x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Northeast Regional Medical Center is $747. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.40x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$735

Average discount available for prompt cash payment at this facility.

Insurance Median
$747

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: $735 (827%)
Insurance Median: $747 (840%)
Cash: $735 (827% of Medicare)
Ins. Median: $747 (840% 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 840% of the Medicare baseline (a markup of 740%). 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
Medicaid / KanCare $75 - $122 84%
Veterans Eval Services $76 - $151 85%
Node Champva $79 - $88 89%
Tricare $79 - $88 89%
Medicare (plans) $83 - $92 93%
Blue Cross Blue Shield $84 - $871 94%
Node Hospice Non Par Agree $84 - $93 94%
Node Va $84 - $93 94%
UnitedHealthcare $84 - $2,142 94%
Node Devoted Health Mcr Adv $87 - $96 98%
Blue Pathway/Pathway X $96 - $107 108%
Centurion Correctional $105 - $117 118%
Us Department Of Labor $105 - $117 118%
Home State Exchange $151 - $168 170%
Naphcare $160 - $177 180%
Immergrun $168 - $187 189%
Blue Prefrerred $201 - $223 226%
Blue Access $207 - $230 233%
Self Pay $343 - $1,570 386%
Cigna $485 - $1,116 545%
Aetna $531 - $2,381 597%
Access Health Services, Llc $928 - $1,856 1044%
Healthlink $1,071 - $2,284 1205%
Multiplan $1,071 - $2,284 1205%
Coventry Wc $1,142 - $2,284 1284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals