X-ray, ankle
Facility: Providence Medical Center
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 - Fka Compresults Worker Compensation | $33 | 37% |
| Aetna | $34 - $82 | 38% |
| Oha Networks | $36 | 40% |
| Worker Compensation | $37 | 42% |
| Medicaid / KanCare | $49 | 55% |
| UnitedHealthcare | $74 - $115 | 83% |
| Healthy Blue | $75 - $86 | 84% |
| Celtic | $75 - $131 | 84% |
| Tricare | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Cigna | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Well Path Prison | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $750 | 844% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Providence Medical Center in Kansas City, KS, the facility's cash price of $81.00 is significantly lower than the state average of $514.00 and the county average of $81.00. While the facility's negotiated rates with insurance payers range from $33 to $750, the cash price remains the lowest option available. Patients with high-deductible plans or those without insurance may find it financially advantageous to pay the cash price directly, as the insurance negotiated rates often exceed the cash amount. 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 further lower the final bill.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract dynamics, which is why the cash price serves as a reliable benchmark for fair pricing. The facility's Medicare benchmark rate of $88.91 provides an objective baseline, showing that the cash price is already competitive relative to the true cost of care. If a patient receives an itemized bill that includes unexpected charges or services not rendered, they should request a formal itemized billing audit to identify errors, double-billing, or unbundled codes before making any payments. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any surprise bill should be disputed immediately with the insurer rather than paid out of fear of credit damage.