CMS Price Transparency Data

X-ray, ankle

Facility: Howard County Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $106
  • Cash Discount Price: $337
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Howard County Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $337. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$337

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $337 (379%)
Insurance Median: $106 (119%)
Cash: $337 (379% of Medicare)
Ins. Median: $106 (119% 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
Aetna $8 - $320 9%
Medica Standard Premier $8 - $33 9%
Medica Elevate $15 - $65 17%
Midland'S Choice $16 - $68 18%
Humana $28 31%
Blue Cross Blue Shield $32 - $320 36%
Great Plains $32 - $192 36%
Medica Chi $32 - $192 36%
Tricare $32 - $253 36%
UnitedHealthcare $32 - $324 36%
Nebraska Total Care - Wellcare $33 37%
Molina Healthcare $34 - $168 38%
Oscar Health $57 64%
Ambetter / Centene $65 73%
Beshp $65 73%
Nebraska Total Care $168 189%
Medica Chi Aco $307 345%
Medica Choice National $307 345%
Medica Ifb Aco $324 364%
Medica Ifb Open Access $324 364%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals