CMS Price Transparency Data

X-ray, ankle

Facility: Mercy Hospital Lincoln

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $180
  • Cash Discount Price: $255
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercy Hospital Lincoln is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.02x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$255

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $255 (287%)
Insurance Median: $180 (202%)
Cash: $255 (287% of Medicare)
Ins. Median: $180 (202% 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 202% of the Medicare baseline (a markup of 102%). 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
Aetna $6 - $522 7%
Medicaid / KanCare $6 - $366 7%
Medicare (plans) $8 - $797 9%
Tricare $8 - $171 9%
UnitedHealthcare $8 - $526 9%
American Health Advantage Of Mo Mcr [10473] $9 - $188 10%
Blue Cross Blue Shield $9 - $614 10%
Cherokee Nation Health Serv Contracted [320066] $9 - $188 10%
Cross Timbers Hospice [20098] $9 - $188 10%
Dept Of Veteran Affairs Contracted [320106] $9 - $188 10%
Elara Caring Aspire Hospice Contracted [320433] $9 - $188 10%
Elara Caring Aspire Hospice [20433] $9 - $188 10%
Globalhealth Contracted [320145] $9 - $188 10%
Halo Hcr Inc Hospice Contracted [320432] $9 - $188 10%
Halo Hcr Inc Hospice [20432] $9 - $188 10%
Humana $9 - $717 10%
Indian Health Service Contracted [320198] $9 - $188 10%
Kindful Hospice Contracted [320434] $9 - $188 10%
Kindful Hospice [20434] $9 - $188 10%
Mercy Hospice Okc [20252] $9 - $188 10%
Pace Of The Ozarks Contracted [320518] $9 - $188 10%
Provider Partners Health Plans Contracted [320450] $9 - $186 10%
Qual Choice Contracted [320325] $9 - $188 10%
Cigna $10 - $200 11%
Centivo Contracted [320505] $14 - $289 16%
Medica Contracted [320239] $16 - $335 18%
Ambetter / Centene $17 - $366 19%
Home State Health Plan Contracted [320187] $17 - $366 19%
Novasys Contracted [320285] $17 - $366 19%
Hope Trust Contracted [320488] $19 - $395 21%
Health Choices Contracted [320448] $23 - $478 26%
Health Choices [20448] $23 - $478 26%
Medical Associates Health Contracted [320444] $23 - $478 26%
First Health Contracted [320128] $25 - $522 28%
United Medical Resources Contracted [320454] $25 - $526 28%
Mercy Mgd Behavioral Health Contracted [320259] $28 31%
Multiplan Contracted [320270] $28 - $598 31%
Private Health Care Systems Contracted [320320] $28 31%
Workers Comp [20426] $28 - $638 31%
Healthlink Contracted [320179] $31 - $709 35%
Aither Health Contracted [320449] $32 - $677 36%
Aither Health [20449] $32 - $677 36%
Auxiant Contracted [320462] $32 - $677 36%
Ebms Contracted [320493] $32 - $677 36%
Edison Health Solutions Contracted [320502] $32 - $677 36%
Federal Medical Center Contracted [320127] $32 - $677 36%
Imagine 360 Contracted [320494] $32 - $677 36%
Insurance System Inc Contracted [320465] $32 - $677 36%
Mercy Benefit Admin Contracted [320251] $32 - $677 36%
Mercy Benefit Admin [20251] $32 - $677 36%
Point C Contracted [320238] $32 - $677 36%
Preferred Health Plan Contracted [320522] $32 - $677 36%
Reflect Health Contracted [320492] $32 - $677 36%
Show-Me Health Administrators Contracted [320483] $32 - $677 36%
Tri State Healthcare Coalition Contracted [320379] $32 - $677 36%
Yuzu Health Contracted [320521] $32 - $677 36%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 East Cherry Street, Troy, MO 63379
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals