CMS Price Transparency Data

X-ray, ankle

Facility: Wood County Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $224
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Wood County Hospital is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.52x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $274 (308%)
Insurance Median: $224 (252%)
Cash: $274 (308% of Medicare)
Ins. Median: $224 (252% 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 252% of the Medicare baseline (a markup of 152%). 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 $79 - $224 89%
Blue Cross Blue Shield $79 - $217 89%
Buckeye $79 - $134 89%
Caresource $79 - $95 89%
Humana $79 - $252 89%
Medicare (plans) $79 89%
Mmo $79 - $243 89%
Paramount $79 - $219 89%
Perennial $79 89%
Summacare $79 89%
United_Healthcare $79 - $243 89%
Medigold $80 90%
Valor $83 93%
Frontpath $219 246%
Advanced_Medical_Pricing $224 252%
Cigna $224 252%
Medben $224 252%
Occunet $224 252%
Ohio_Health_Choice $232 - $249 261%
Claimdoc $238 268%
First_Health $246 277%
Health_Ohio_Network $246 277%
Healthscope_Benefits $254 286%
Primary_Health_Services_Dca $254 286%
Multiplan $257 289%
Private_Healthcare_Systems $257 289%
Three_Rivers_Provider_Network $257 289%
Unicare $257 289%
Beech_Street $260 292%
Flora $260 292%
Npn_Medical_Resources $260 292%
Ohio_Preferred_Provider_Network $260 292%
Ohio_Health_Group $265 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 West Wooster Street, Bowling Green, OH 43402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals