CMS Price Transparency Data

X-ray, ankle

Facility: Lafollette Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $83
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Lafollette Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.93x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $318 (358%)
Insurance Median: $83 (93%)
Cash: $318 (358% of Medicare)
Ins. Median: $83 (93% 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 $16 - $248 18%
Bluecare $17 - $28 19%
Aetna $22 - $885 25%
Medicaid / KanCare $22 - $45 25%
UnitedHealthcare $22 - $1,423 25%
Wellcare $22 - $33 25%
Amerigroup $45 - $48 51%
Tricare $69 - $77 78%
Node Champva $73 - $81 82%
Humana $75 - $313 84%
Medicare (plans) $75 - $83 84%
Node Bluecare Plus Tn Mcr Adv $75 - $83 84%
Triwest $75 - $83 84%
Node Devoted Health Mcr Adv $76 - $85 85%
Node Farm Bureau Mcr Adv $76 - $85 85%
Node Hospice Non Par Agree $76 - $85 85%
Node Va $76 - $85 85%
Node Wellcare Mcr Adv $76 - $85 85%
Node Blueadvantage Mcr Adv $77 - $86 87%
Node Healthspring Mcr Adv $77 - $86 87%
Veterans Eval Services $78 - $157 88%
Node Amerigroup Mcr Adv $79 - $87 89%
Windsor Health Plan $79 - $87 89%
Node Nhc Mcr Adv $82 - $92 92%
Node Us Dept Of Labor $95 - $106 107%
Cigna $104 - $116 117%
Novanet Work Comp Tn $118 - $131 133%
Tn Work Comp $119 - $132 134%
Ambetter / Centene $141 - $156 159%
Node Point Comfort Underwriters $167 - $186 188%
Self Pay $220 - $408 247%
Multiplan Complementary $582 - $1,081 655%
Beech Street Work Comp Tn $11,883 - $13,204 13365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals