CMS Price Transparency Data
X-ray, ankle
Facility: Mercy Hospital Logan County
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $253
- Cash Discount Price: $371
- vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercy Hospital Logan County is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.85x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$371
Average discount available for prompt cash payment at this facility.
Insurance Median
$253
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: $371 (417%)
Insurance Median: $253 (285%)
Cash: $371 (417% of Medicare)
Ins. Median: $253 (285% 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 285% of the Medicare baseline (a markup of 185%). 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 | $24 - $423 | 27% |
| Humana | $24 - $576 | 27% |
| Medicaid / KanCare | $24 - $216 | 27% |
| Tricare | $105 - $179 | 118% |
| Blue Cross Blue Shield | $108 - $346 | 121% |
| Cherokee Nation Health Serv Contracted [320066] | $108 - $184 | 121% |
| Cross Timbers Hospice [20098] | $108 - $184 | 121% |
| Dept Of Veteran Affairs Contracted [320106] | $108 - $184 | 121% |
| Elara Caring Aspire Hospice Contracted [320433] | $108 - $184 | 121% |
| Elara Caring Aspire Hospice [20433] | $108 - $184 | 121% |
| Halo Hcr Inc Hospice Contracted [320432] | $108 - $184 | 121% |
| Halo Hcr Inc Hospice [20432] | $108 - $184 | 121% |
| Independent Health [20197] | $108 - $184 | 121% |
| Indian Health Service Contracted [320198] | $108 - $184 | 121% |
| Kindful Hospice Contracted [320434] | $108 - $184 | 121% |
| Kindful Hospice [20434] | $108 - $184 | 121% |
| Medical Associates Health [20444] | $108 - $184 | 121% |
| Medicare (plans) | $108 - $360 | 121% |
| Mercy Hospice Okc [20252] | $108 - $184 | 121% |
| Provider Partners Health Plans Contracted [320450] | $108 - $184 | 121% |
| Qual Choice Contracted [320325] | $108 - $184 | 121% |
| Tribute Health Plan Mcr Contracted [320338] | $108 - $184 | 121% |
| UnitedHealthcare | $108 - $504 | 121% |
| Globalhealth Contracted [320145] | $110 - $187 | 124% |
| Cigna | $111 - $612 | 125% |
| Ambetter / Centene | $127 - $216 | 143% |
| Home State Health Plan Contracted [320187] | $127 - $216 | 143% |
| Novasys Contracted [320285] | $127 - $216 | 143% |
| Webtpa Contracted [320417] | $177 - $302 | 199% |
| Health Choice Contracted [320166] | $198 | 223% |
| Medica Contracted [320239] | $211 - $360 | 237% |
| Aither Health Contracted [320449] | $253 - $612 | 285% |
| Auxiant Contracted [320462] | $253 - $612 | 285% |
| Federal Medical Center Contracted [320127] | $253 - $432 | 285% |
| Healthlink Contracted [320179] | $253 - $612 | 285% |
| Healthscope Contracted [320182] | $253 - $432 | 285% |
| Mercy Benefit Admin Contracted [320251] | $253 - $612 | 285% |
| Point C Contracted [320238] | $253 - $432 | 285% |
| Preferred Health Plan Contracted [320522] | $253 - $432 | 285% |
| Quik Trip Contracted [320447] | $253 - $432 | 285% |
| Show-Me Health Administrators Contracted [320483] | $253 - $432 | 285% |
| United Medical Resources Contracted [320454] | $253 - $504 | 285% |
| Community Care Contracted [320080] | $268 | 301% |
| Osma Health Contracted [320292] | $295 - $504 | 332% |
| United Behavioral Health Contracted [320390] | $295 - $504 | 332% |
| Benefit Management Contracted [320052] | $316 - $648 | 355% |
| Globalhealth Contracted [320144] | $316 - $540 | 355% |
| Healthcare Highways Plus Contracted [320175] | $316 - $540 | 355% |
| Private Health Care Systems Contracted [320320] | $316 - $576 | 355% |
| First Health Contracted [320128] | $330 - $563 | 371% |
| Multiplan Contracted [320270] | $338 - $648 | 380% |
| Ebms Contracted [320493] | $359 - $612 | 404% |
| Imagine 360 Contracted [320494] | $359 - $612 | 404% |
| Preferred Community Choice Contracted [320311] | $359 - $612 | 404% |
| Reflect Health Contracted [320492] | $359 - $612 | 404% |
| Yuzu Health Contracted [320521] | $359 - $612 | 404% |