CMS Price Transparency Data

X-ray, ankle

Facility: Ohiohealth Morrow County Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $156
  • Cash Discount Price: $268
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Ohiohealth Morrow County Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$268

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $268 (301%)
Insurance Median: $156 (175%)
Cash: $268 (301% of Medicare)
Ins. Median: $156 (175% 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
Blue Cross Blue Shield $70 - $319 79%
Medicaid / KanCare $70 - $71 79%
UnitedHealthcare $70 - $338 79%
Amerihealth Caritas - All Plans $72 81%
Humana $72 - $384 81%
Molina Exchange - All Other Plans $115 129%
Medicare (plans) $153 - $156 172%
Aetna $156 - $355 175%
Caresource Marketplace - All Other Plans $191 215%
Medical Mutual Of Ohio Marketplace $309 348%
Ohiohealthy Network - All Other Plans $309 348%
Ohiohealthy Preferred $309 348%
Medical Mutual Of Ohio Comm - All Other Plans $334 376%
Medical Mutual Of Ohio - Admin Serv $351 395%
Phcs - All Plans $380 427%
Cigna $388 436%
Multiplan - All Plans $392 441%
Healthstar Comm - All Plans $396 445%
Beech Street - All Plans $400 450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals