CMS Price Transparency Data

X-ray, ankle

Facility: Franklin Woods Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $82
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Franklin Woods Community Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.92x the Medicare baseline. Located in 300 Med Tech Parkway, Johnson City, TN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $75 (84%)
Insurance Median: $82 (92%)
Cash: $75 (84% of Medicare)
Ins. Median: $82 (92% 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 $22 - $115 25%
UnitedHealthcare $40 - $472 45%
Amerigroup $52 - $79 58%
Cigna $53 - $83 60%
Optima Health $77 - $115 87%
Aetna $79 - $325 89%
First Health Coventry $79 89%
Humana $79 89%
Managed Medicaire $79 89%
Medicare (plans) $79 89%
Sentara Health $79 - $147 89%
United Mine Workers Of America $79 89%
Molina Healthcare $80 - $119 90%
Devoted Health Plan $83 93%
Nhc Advantage $83 93%
Wellcare $84 - $509 94%
Ambetter / Centene $172 193%
Medcost $412 - $433 463%
Seven Corners, Inc. $485 - $509 545%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Med Tech Parkway, Johnson City, TN 37604
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals