CMS Price Transparency Data

X-ray, ankle

Facility: Hillcrest Hospital Henryetta

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $858
  • Cash Discount Price: $374
  • vs. Medicare Baseline: 9.65x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Hillcrest Hospital Henryetta is $858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.65x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.
Cash / Self-Pay
$374

Average discount available for prompt cash payment at this facility.

Insurance Median
$858

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: $374 (421%)
Insurance Median: $858 (965%)
Cash: $374 (421% of Medicare)
Ins. Median: $858 (965% 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 965% of the Medicare baseline (a markup of 865%). 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
Black Lung [6055] $250 - $374 281%
Lucent Health [6000] $250 - $374 281%
Aetna $438 - $657 493%
Coresource [1315] $438 - $657 493%
Coventry Healthcare [1320] $438 - $657 493%
Meritain Health [1655] $438 - $657 493%
Cigna $547 - $820 615%
Healthpartners [1500] $547 - $820 615%
National Association Of Letter Carriers [1695] $547 - $820 615%
Pba [1775] $547 - $820 615%
Global Health [1430] $619 - $928 696%
First Health [1375] $677 - $1,287 761%
Multiplan [1680] $677 - $1,287 761%
Healthcare Solutions [1485] $709 - $1,063 797%
Community Care [1290] $798 - $1,198 898%
Fmh Benefit Services [1390] $798 - $1,198 898%
Group Resources [1455] $798 - $1,198 898%
Phcs [1780] $798 - $1,287 898%
Healthsmart [1505] $848 - $1,272 954%
Administrative Concepts [1005] $858 - $1,287 965%
Allied Benefit Systems Inc [1030] $858 - $1,287 965%
Allied National Global Care [1035] $858 - $1,287 965%
Gilsbar [1425] $858 - $1,287 965%
Healthnet [1495] $858 - $1,287 965%
New Era Life Insurance Company [1705] $858 - $1,287 965%
Pan American Life Insurance Co [1770] $858 - $1,287 965%
Trustmark [2030] $858 - $1,287 965%
Pending Ssi [1616] $998 - $1,497 1122%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 W Main, Henryetta, OK 74437
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals