X-ray, ankle
Facility: Labette Health
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $75
- Cash Discount Price: $127
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Montgomery County | $16 - $149 | 18% |
| Uhccp | $17 - $27 | 19% |
| Aetna | $31 | 35% |
| Kansas Superior Select | $33 - $84 | 37% |
| Medicaid / KanCare | $49 - $142 | 55% |
| Healthy Blue | $50 - $75 | 56% |
| Multiplan | $75 - $268 | 84% |
| Ambetter / Centene | $79 - $94 | 89% |
| Humana | $81 | 91% |
| UnitedHealthcare | $81 - $275 | 91% |
| Blue Cross Blue Shield | $81 - $139 | 91% |
| Wellcare | $81 | 91% |
| Health Partners Of Kansas, Inc | $284 | 319% |
| Choicecare (First Health Network) | $284 | 319% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Labette Health in Parsons, KS, the facility's cash price of $127.00 is lower than the gross charge of $181.00, but it remains higher than the state average for this procedure. While the facility's negotiated rates with major payers like UnitedHealthcare and Multiplan range from $81 to $275, the cash price of $127.00 may be the most cost-effective option for patients with high-deductible plans or those without insurance, as it avoids the administrative markup often found in commercial contracts. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed before any insurance claim is processed.
It is important to note that commercial insurance rates for this service vary significantly, with the lowest negotiated rate being $16 and the highest reaching $284 across different plans. Because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify their network status before scheduling. If a patient receives a bill that exceeds the expected negotiated amount, they should request a formal itemized billing audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Comparing the facility's rates to the Medicare benchmark of $88.91 reveals a markup typical of commercial pricing, reinforcing the value of paying cash or negotiating directly rather than relying on standard insurance allowances.