CMS Price Transparency Data

X-ray, ankle

Facility: Yoakum Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $244
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 2.74x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Yoakum Community Hospital is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.74x the Medicare baseline. Located in 1200 Carl Ramert Drive, Yoakum, TX.
Cash / Self-Pay
$233

Average discount available for prompt cash payment at this facility.

Insurance Median
$244

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: $233 (262%)
Insurance Median: $244 (274%)
Cash: $233 (262% of Medicare)
Ins. Median: $244 (274% 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 274% of the Medicare baseline (a markup of 174%). 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
Humana $118 - $177 133%
Medicare (plans) $118 - $177 133%
Prime Health Svcs Mcr Advantage $118 - $177 133%
Scott & White Mcare Advan $118 - $177 133%
Superior Mcr Advantage $118 - $177 133%
Triwest Va Ccn-All Plans $118 - $177 133%
Tx Independent Hp Mcr Advantage-All Plans $118 - $177 133%
UnitedHealthcare $118 - $344 133%
Blue Cross Blue Shield $119 - $322 134%
Superior Hix-All Other Plans $147 - $221 165%
Kempton Group Admin Ppo-All Plans $189 - $282 213%
Entrust - All Plans $200 - $300 225%
Medicaid / KanCare $209 - $431 235%
Amera-Net-All Plans $216 - $323 243%
Scott & White Ppo-All Other Plans $216 - $323 243%
Healthsmart Ppo-All Other Plans $224 - $336 252%
Blue Bell Creameries Emp-All Plans $230 - $344 259%
Cigna $230 - $344 259%
Americas Health Plan-All Plans $244 - $366 274%
Beech Street-All Plans $244 - $366 274%
Directcare America-All Plans $244 - $366 274%
Galaxy Ppo - All Plans $244 - $366 274%
Health Star Comm Ip/Op Only - All Plans $244 - $366 274%
Medcorp Southwest Ppo-All Plans $244 - $366 274%
Medical Control Ppo-All Plans $244 - $366 274%
Phcs Multiplan - All Plans $244 - $366 274%
Aetna $259 - $387 291%
Healthsmart Work Comp $259 - $387 291%
Prime Health Svcs Ppo-All Other Plans $259 - $387 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Carl Ramert Drive, Yoakum, TX 77995
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals