CMS Price Transparency Data

X-ray, ankle

Facility: Holmes County Hospital and Clinics

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $169
Cash Discount Price: $90
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Holmes County Hospital and Clinics is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.90x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $90 (101%)

Insurance Median: $169 (190%)

Cash: $90 (101% of Medicare)

Ins. Median: $169 (190% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ms-Can-Molina-Lex	$69	78%
Ms-Can-Magnolia-Lex	$70	79%
Ms-Can-Truecare-Lex	$70	79%
Advhealth-Lex	$129	145%
Cigna	$130	146%
Tricare	$138	155%
Humana	$140	157%
Mpcn-Lex	$146	164%
Molina-Chip-Lex	$148	166%
Magnolia-Chip-Lex	$151	170%
Truecare-Chip-Lex	$151	170%
Medadv_Uhc-Lex	$153	172%
Firstchoice-Lex	$158	178%
United-Lex	$168	189%
Ambetter / Centene	$169	190%
Medadv_Primewell-Lex	$169	190%
Medicare (plans)	$169	190%
Primewell-Lex	$169	190%
United-Options-Lex	$169	190%
Va_Ccn-Lex	$169	190%
Medadv_Uhcdsnp-Lex	$174	196%
Wellcare-Lex	$174	196%
Ppoplus	$176	198%
Devoted_Health-Lex	$177	199%
Firsthealth-Lex	$180	202%
Multiplan-Lex	$180	202%
Blue Cross Blue Shield	$188	211%
Aetna	$191	215%
Phcs-Lex	$202	227%
Molina_Exchange-Lex	$225	253%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $90.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holmes County Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.