CMS Price Transparency Data

X-ray, ankle

Facility: Johnson County Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $95
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Johnson County Community Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $73 (82%)
Insurance Median: $95 (107%)
Cash: $73 (82% of Medicare)
Ins. Median: $95 (107% 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 $18 - $246 20%
UnitedHealthcare $40 - $327 45%
Cigna $53 - $100 60%
Optima Health $77 - $115 87%
Aetna $80 - $209 90%
Molina Healthcare $80 - $119 90%
Amerigroup $88 - $95 99%
Managed Medicaire $90 - $95 101%
Medicare (plans) $90 - $95 101%
Sentara Health $90 - $111 101%
United Mine Workers Of America $90 - $95 101%
Wellcare $90 - $95 101%
Humana $92 - $96 103%
Devoted Health Plan $95 - $100 107%
Nhc Advantage $95 - $100 107%
Ambetter / Centene $100 - $105 112%
Medcost $109 - $114 123%
First Health Coventry $233 - $245 262%
Seven Corners, Inc. $311 - $327 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals