CMS Price Transparency Data

X-ray, ankle

Facility: Liberty Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $93
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Liberty Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 2525 Glenn Hendren Dr, Liberty, MO.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $152 (171%)
Insurance Median: $93 (105%)
Cash: $152 (171% of Medicare)
Ins. Median: $93 (105% 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.

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
Blue Cross Blue Shield $9 - $488 10%
Aetna $39 - $81 44%
Humana $63 - $82 71%
Cigna $81 91%
Medicare (plans) $81 - $89 91%
UnitedHealthcare $81 - $133 91%
Healthy Blue $87 98%
Ambetter / Centene $102 115%
Home State Health $118 133%
Fox Everett $317 - $370 357%
Phcs $397 - $463 447%
Multiplan $439 - $512 494%

Consumer Guidance & Cost Commentary

Liberty Hospital, located at 2525 Glenn Hendren Dr in Liberty, Missouri, reports a cash median price of $152 for the X-ray, ankle procedure. This cash rate is notably lower than the facility's gross charge of $539 and significantly below the median negotiated rate of $93 paid by insurance plans. While the facility operates as a voluntary non-profit acute care hospital with a rating of 2 stars, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs compared to insurance claims, particularly for those with high-deductible plans where the insurance negotiated rate exceeds the cash price.

For patients utilizing insurance, the allowed amounts vary widely across the 12 payers represented, ranging from a low of $9 with Blue Cross Blue Shield to a high of $488. The Medicare benchmark for this service is $88.91, which serves as a key reference point for evaluating commercial pricing markups. Although the data does not provide specific median paid amounts or state/county average comparisons for this specific CPT code, consumers are encouraged to request itemized billing audits to identify potential errors, such as unbundled codes or services not rendered, and to inquire about prompt-pay discounts that could further reduce the final bill.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Glenn Hendren Dr, Liberty, MO 64068
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals