CMS Price Transparency Data

X-ray, ankle

Facility: Othello Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $303
  • Cash Discount Price: $284
  • vs. Medicare Baseline: 3.41x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Othello Community Hospital is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.41x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$284

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $284 (319%)
Insurance Median: $303 (341%)
Cash: $284 (319% of Medicare)
Ins. Median: $303 (341% 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 341% of the Medicare baseline (a markup of 241%). 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
Ambetter / Centene $161 - $163 181%
Amerigroup Mcaid $161 181%
Chp Mcaid $161 181%
Cocare - All Plans $161 181%
Gau - All Plans $161 181%
Kaiser - All Plans $161 181%
Molina Mcaid $161 181%
UnitedHealthcare $161 - $379 181%
Chp - All Other Plans $163 183%
Molina - All Other Plans $163 183%
Medicare (plans) $190 214%
Tricare $246 277%
Triwest - All Plans $246 277%
Asuris - All Plans $303 341%
Commercial Other - All Plans $303 341%
Hma - All Plans $303 341%
Hmso - All Plans $303 341%
Tpsc - All Plans $303 341%
Travelers - All Plans $303 341%
Veterans Admin - All Plans $303 341%
Blue Cross Blue Shield $318 358%
Cigna $337 379%
First Choice - All Plans $341 384%
Aetna $356 400%
Chp Mcr Adv $379 426%
Health Alliance Mcr Adv - All Plans $379 426%
Humana $379 426%
Molina Mcare $379 426%
Wellcare Mcr Adv - All Plans $379 426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals