X-ray, ankle
Facility: Saint John Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Comp Alliance Workers Comp | $33 | 37% |
| Oha Networks | $36 | 40% |
| Worker Compensation | $37 | 42% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $54 - $82 | 61% |
| Blue Cross Blue Shield | $66 - $139 | 74% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Tricare | $82 | 92% |
| Cigna | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Kansas Superior Select | $84 | 94% |
| Corizon | $115 | 129% |
| Well Path | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Saint John Hospital in Leavenworth, KS, the facility's cash median price is $81.00, which is significantly lower than the state average of $565.00. While many commercial payers negotiate rates ranging from $74 to $139, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. Because commercial negotiated rates often include administrative overhead and do not reflect the true cost of care, paying cash directly can result in substantial savings compared to what insurance might allow. Patients should verify their specific plan's deductible status before scheduling, as paying the cash rate upfront may be more cost-effective than facing a high allowed amount after meeting a deductible.
To ensure you are not overcharged, it is critical to request a full itemized bill rather than accepting a summary invoice, as hospitals frequently use broad categories to obscure individual charges. If you receive a balance bill for the difference between the provider's chargemaster and your insurance payment, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce the final amount by 20% to 50% if paid in full within 30 days, effectively bypassing the costly insurance claims process. Always dispute any unexpected bills in writing to avoid credit damage and ensure all charges align with the transparent data provided.