X-ray, ankle
Facility: St. Catherine Hospital - Garden City
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $182
- Cash Discount Price: $285
- vs. Medicare Baseline: 2.05x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $24 - $127 | 27% |
| Humana | $24 - $28 | 27% |
| Aetna | $24 - $263 | 27% |
| Medicare (plans) | $24 - $28 | 27% |
| Kansas Health | $24 | 27% |
| Kaiser | $24 - $398 | 27% |
| Blue Cross Blue Shield | $24 - $165 | 27% |
| UnitedHealthcare | $24 - $193 | 27% |
| Innovage | $28 | 31% |
| Devoted Health | $28 | 31% |
| Direct To Employer | $75 - $578 | 84% |
| Centura Employee Plan | $91 | 102% |
| Peak Health | $99 - $564 | 111% |
| Multiplan | $134 - $1,229 | 151% |
| Wpaa | $168 - $219 | 189% |
| United Colorado Doctor'S Plan | $182 | 205% |
| Christian Health Aid | $192 - $250 | 216% |
| Health Partners Of Kansas | $233 - $303 | 262% |
| Denver Health | $262 - $341 | 295% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at St. Catherine Hospital - Garden City, the facility's cash median price of $285.00 is significantly lower than the typical negotiated rates paid by major insurers, which range from $24 to $1,229 depending on the plan. While the facility is a voluntary non-profit church-owned acute care hospital in Garden City, KS (ZIP 67846), patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash price. For instance, while the facility's cash rate is $285.00, some in-network plans like Multiplan have negotiated rates as high as $1,229, and even the median negotiated rate across all payers is $182.00, which is still higher than the cash option.
To minimize unexpected costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative overhead and inflated administrative markups inherent in insurance billing cycles. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients must still verify their specific plan details and avoid signing away rights to dispute out-of-network charges for emergency or mandatory ancillary services. Furthermore, if a patient does receive an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through