CMS Price Transparency Data

X-ray, ankle

Facility: Poplar Bluff Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $312
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 3.51x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Poplar Bluff Regional Medical Center is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.51x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$312

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: $179 (201%)
Insurance Median: $312 (351%)
Cash: $179 (201% of Medicare)
Ins. Median: $312 (351% 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 351% of the Medicare baseline (a markup of 251%). 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 $5 - $355 6%
Blue Cross Blue Shield $6 - $459 7%
Self Pay $6 - $426 7%
UnitedHealthcare $13 - $954 15%
Access Health Services, Llc $14 - $1,011 16%
Cigna $14 - $1,419 16%
Evolutions Healthcare $14 - $967 16%
Tyson Foods $14 - $976 16%
Parker Hannifin $15 - $1,242 17%
First Health $16 - $1,153 18%
Healthlink $16 - $1,109 18%
Blue Traditional $19 - $1,369 21%
Coventry Wc $20 - $1,419 22%
Municipal Health $20 - $1,419 22%
Multiplan $22 - $1,543 25%
Phcs $22 - $1,543 25%
Compresults Wc $23 - $1,596 26%
Veterans Eval Services $25 - $76 28%
Node Champva $88 99%
Tricare $88 99%
Medicare (plans) $92 103%
Node United Behavioral Health Mcr Adv $92 103%
Humana $93 105%
Node Hospice Non Par Agree $93 105%
Node Va $93 105%
Node Ahs Mcr Adv $96 108%
Node Devoted Health Mcr Adv $96 108%
Node Pphp Mcr Adv $106 119%
Centurion Correctional $117 132%
Us Department Of Labor $117 132%
Naphcare $177 199%
Home State Exchange $233 262%
W W Wood $233 262%
Blue Access $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals