X-ray, ankle
Facility: Centura St. Catherine-Dodge City
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $510
- Cash Discount Price: $255
- vs. Medicare Baseline: 5.74x 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 574% of the Medicare baseline (a markup of 474%). 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 |
|---|---|---|
| Humana | $24 | 27% |
| Kaiser | $24 | 27% |
| Kansas Health | $24 | 27% |
| Medicare (plans) | $24 | 27% |
| Cigna | $24 | 27% |
| Blue Cross Blue Shield | $24 - $164 | 27% |
| Aetna | $24 - $766 | 27% |
| Centura Employee Plan | $91 | 102% |
| UnitedHealthcare | $420 - $630 | 472% |
| Wpaa | $447 - $670 | 503% |
| Multiplan | $510 - $861 | 574% |
| Christian Health Aid | $510 - $766 | 574% |
| Health Partners Of Kansas | $574 - $861 | 646% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Centura St. Catherine-Dodge City, the facility's gross charge is $638.00. While the facility's negotiated rates with major payers like Aetna and Multiplan range from $24 to $861, the cash median price is significantly lower at $255.00. This cash price is notably lower than the facility's median negotiated rate of $510.00 and represents a substantial discount compared to the gross charge. For patients with high-deductible plans, paying the cash price upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Additionally, patients should inquire about "prompt-pay" discounts, which can further reduce the bill by 20% to 50% if paid in full within 30 days, bypassing the administrative costs associated with insurance claims processing.
The facility's pricing is evaluated against federal benchmarks to ensure transparency. The Medicare allowed amount for this service is $88.91, which serves as the objective baseline for evaluating the facility's markup. The facility's cash median of $255.00 is approximately 5.7 times the Medicare rate, while the median negotiated rate of $510.00 is roughly 5.7 times the Medicare amount as well. It is important to note that while the facility is an in-network provider for many plans, balance billing is generally prohibited for in-network services under federal law; however, patients should always request an itemized bill to verify that no out-of-network ancillary services were billed separately. Before scheduling,