X-ray, ankle
Facility: Mcpherson Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $171
- Cash Discount Price: $181
- vs. Medicare Baseline: 1.92x 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 |
|---|---|---|
| UnitedHealthcare | $7 - $399 | 8% |
| Tricare | $7 - $70 | 8% |
| Wellcare Mcr Adv - All Plans | $8 - $80 | 9% |
| Va Ccn - All Plans | $8 - $80 | 9% |
| Blue Cross Blue Shield | $8 - $80 | 9% |
| Ambetter / Centene | $8 - $92 | 9% |
| Healthy Blue Mcr Adv | $8 - $80 | 9% |
| Humana | $8 - $80 | 9% |
| Aetna | $8 - $399 | 9% |
| Multiplan - All Plans | $10 - $359 | 11% |
| Medicaid / KanCare | $29 - $399 | 33% |
| Health Blue Mcaid - All Other Plans | $30 - $407 | 34% |
| Medical Associates - All Plans | $50 - $299 | 56% |
| Central Plains - All Plans | $50 - $299 | 56% |
| Health Partners - All Plans | $63 - $379 | 71% |
| Cigna | $63 - $379 | 71% |
| Wppa - All Plans | $171 - $279 | 192% |
| Christian Health Aid - All Plans | $195 - $319 | 219% |
| First Health - All Plans | $232 - $379 | 261% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at McPherson Hospital in Mcpherson, KS, the facility's cash median rate is $181.00, which is lower than the state average of $190.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $7 to $399, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the negotiated amounts paid by insurers can sometimes be significantly higher than what a self-pay patient would owe. To secure the lowest possible cost, 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 associated with insurance billing cycles.
It is important to understand that commercial rates are not always the most affordable option, even for in-network members. The facility's negotiated rate of $171.00 is still higher than the cash median, and the gross chargemaster price of $244.00 represents the full list price before any discounts. If a patient receives care from an out-of-network provider, they could face balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects emergency and non-emergency services at in-network facilities from such surprise bills. Furthermore, patients should request an itemized billing audit to ensure no errors, unbundled codes, or services not rendered are included in the final invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.