CMS Price Transparency Data

X-ray, ankle

Facility: Merit Health Wesley

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $79
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Merit Health Wesley is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $307 (345%)
Insurance Median: $79 (89%)
Cash: $307 (345% of Medicare)
Ins. Median: $79 (89% 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
Medicaid / KanCare $20 - $183 22%
Ms Work Comp $53 60%
Magnolia $67 - $76 75%
Tricare $67 - $75 75%
UnitedHealthcare $67 - $160 75%
Caresource Truecare $68 76%
First Choice $68 - $962 76%
Humana $68 - $76 76%
Magnolia Mcd Ms Chip $68 76%
Medicare (plans) $68 - $76 76%
Node Vantage Mcr Adv $68 - $76 76%
Aetna $70 - $502 79%
Molina $70 - $78 79%
Node Devoted Health Mcr Adv $70 - $78 79%
Node First Choice American Health Mcr Adv $70 - $78 79%
Node Hospice Non Par Agree $70 - $77 79%
Node Va $70 - $77 79%
Node Champva $71 - $79 80%
Node First Choice Wellcare Mcr Adv $71 - $79 80%
Molina Chip $72 81%
Veterans Eval Services $75 84%
Node Healthy Mississippi Mcr Adv $77 - $85 87%
Node Us Dept Of Labor $87 - $97 98%
Molina Exchange $113 - $126 127%
Advanced Health Systems $116 - $129 130%
First Choice Molina $118 - $131 133%
Magnolia Exchange $122 - $135 137%
Blue Cross Blue Shield $149 - $166 168%
First Choice Lgp $152 - $168 171%
Vantage Health $157 - $174 177%
Chs Group Health Plan $241 271%
Self Pay $253 - $361 285%
Cigna $339 381%
Trimed Billing Solutions $361 406%
Benefit Management Services $782 880%
Coventry First Health $902 1015%
Ms Dept Of Rehabilitation Services $1,203 1353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals