CMS Price Transparency Data

X-ray, ankle

Facility: Hillcrest Hospital Pryor

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $443
Cash Discount Price: $256
vs. Medicare Baseline: 4.98x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Hillcrest Hospital Pryor is $443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.98x the Medicare baseline. Located in 111 North Bailey Street, Pryor, OK.

Cash / Self-Pay

$256

Average discount available for prompt cash payment at this facility.

Insurance Median

$443

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: $256 (288%)

Insurance Median: $443 (498%)

Cash: $256 (288% of Medicare)

Ins. Median: $443 (498% 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 498% of the Medicare baseline (a markup of 398%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Black Lung [6055]	$170 - $256	191%
Healthcare Highways [2210]	$170 - $665	191%
Hooray Health [8000]	$170 - $256	191%
Lucent Health [6000]	$170 - $256	191%
Oncology Patient Assistance Programs [2295]	$170 - $256	191%
Oscar Insurance Company [7005]	$170 - $256	191%
Osma Health Network [2345]	$170 - $256	191%
Healthscope Benefits [2290]	$209 - $313	235%
UnitedHealthcare	$209 - $313	235%
Aetna	$299 - $449	336%
Allied Benefit Systems Inc [1030]	$299 - $449	336%
Coresource [1315]	$299 - $449	336%
Coventry Healthcare [1320]	$299 - $449	336%
Meritain Health [1655]	$299 - $449	336%
The Kempton Group Administrators [2905]	$307 - $460	345%
Beacon Health Options Behavioral Health [2890]	$423 - $634	476%
Global Health [1430]	$423 - $634	476%
Resource One Administrators [2815]	$443 - $665	498%
Universal Fidelity [2085]	$443 - $665	498%
Web Tpa [2115]	$443 - $665	498%
First Health [1375]	$503 - $755	566%
Medica [2910]	$503 - $755	566%
Multiplan [1680]	$503 - $755	566%
Cigna	$561 - $842	631%
Healthpartners [1500]	$561 - $842	631%
Pba [1775]	$561 - $842	631%
Pending Ssi [1616]	$682 - $1,023	767%

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 $256.
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 Hillcrest Hospital Pryor 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.