X-ray, ankle

For the X-ray, ankle procedure (CPT 73610), Mercy Hospital Pittsburg, Inc. has a gross charge of $571.00, with a cash median price of $371.00 and a negotiated median rate of $366.00. While the facility's negotiated rate is slightly lower than its cash price, it is important to note that commercial insurance rates often exceed cash prices due to administrative overhead and contract structures. For patients with high-deductible plans, paying the cash price of $371.00 upfront could result in significant savings compared to the negotiated rate of $366.00 if their insurance deductible has not yet been met. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill by bypassing costly claims processing fees.

When comparing this facility's pricing to broader benchmarks, the Medicare allowed amount for this service is $88.91. The facility's cash price of $371.00 represents a substantial markup relative to the federal government's fixed reimbursement rate, which serves as the objective baseline for healthcare costs. While the facility is a voluntary non-profit church-owned acute care hospital in Pittsburg, KS (ZIP 66762), patients should verify their specific plan's negotiated rates, as these vary widely across the 36 payers listed, ranging from $24 to $581. To ensure you are receiving the best possible price, it is recommended to request an itemized billing audit before payment and to explicitly ask about self-pay or prompt-pay discounts prior to scheduling your appointment.