X-ray, ankle
Facility: Overland Park Reg Med Ctr
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $565
- Cash Discount Price: $1,994
- vs. Medicare Baseline: 6.35x 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 635% of the Medicare baseline (a markup of 535%). 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 |
|---|---|---|
| Multiplan | $30 - $2,092 | 34% |
| Aetna | $34 - $1,442 | 38% |
| Corvel Corporation | $35 - $1,837 | 39% |
| Oha Network | $37 - $1,413 | 42% |
| Blue Cross Blue Shield | $44 - $1,215 | 49% |
| Humana | $44 - $56 | 49% |
| Amerigroup | $49 | 55% |
| United | $49 - $1,272 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $150 | 114% |
| Ambetter / Centene | $240 - $526 | 270% |
| Nhc Advantage | $245 - $537 | 276% |
| Wppa Providrs Care Network | $258 - $565 | 290% |
| Universal Healthcare | $451 - $989 | 507% |
| Coventry | $518 - $1,136 | 583% |
| Coventry Kc Mo | $528 - $1,159 | 594% |
| College Park Family Care Center | $554 - $1,215 | 623% |
| Focus Healthcare Mgmt, Inc | $966 - $2,120 | 1086% |
| Triwest Health Alliance | $966 - $2,120 | 1086% |
| Cco, Inc. | $966 - $2,120 | 1086% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Overland Park Reg Med Ctr, the cash price is $1,994, which matches the facility's listed gross charge. This rate is significantly higher than the state of Kansas average, which is 6.4% above the Medicare benchmark of $88.91. While commercial insurance plans like Multiplan and Aetna negotiate rates ranging from $30 to over $2,000 depending on the specific plan, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate for some payers can be substantially higher than the out-of-pocket cash cost.
To ensure you receive the most accurate pricing, it is critical to request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges or unbundled components. Additionally, patients should explicitly ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid in full upfront. While the facility is in-network for many carriers, the allowed amount varies widely, so verifying your specific plan's negotiated rate is essential before scheduling. Remember that Medicare serves as the objective baseline for fair pricing; any commercial rate should be evaluated against this standard rather than the inflated chargemaster list price.