X-ray, ankle
Facility: Menorah Medical Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $735
- Cash Discount Price: $2,903
- vs. Medicare Baseline: 8.27x 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 827% of the Medicare baseline (a markup of 727%). 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 - $2,863 | 34% |
| Aetna | $34 - $1,973 | 38% |
| Corvel Corporation | $35 - $2,515 | 39% |
| Oha Network | $37 - $1,934 | 42% |
| Blue Cross Blue Shield | $44 - $1,741 | 49% |
| Humana | $44 - $56 | 49% |
| Amerigroup | $49 | 55% |
| United | $49 - $1,741 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $3,095 | 114% |
| Ambetter / Centene | $361 - $720 | 406% |
| Nhc Advantage | $368 - $735 | 414% |
| Wppa Providrs Care Network | $388 - $774 | 436% |
| Universal Healthcare | $678 - $1,354 | 763% |
| Coventry | $779 - $1,555 | 876% |
| Coventry Kc Mo | $795 - $1,586 | 894% |
| College Park Family Care Center | $833 - $1,664 | 937% |
| Triwest Health Alliance | $1,454 - $2,901 | 1635% |
| Focus Healthcare Mgmt, Inc | $1,454 - $2,901 | 1635% |
| Cco, Inc. | $1,454 - $2,901 | 1635% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Menorah Medical Center in Overland Park, KS, the cash price is $2,903.00, which matches the facility's listed gross charge. This cash rate is significantly higher than the state average of $88.91 and the Medicare benchmark of $88.91, reflecting a substantial markup common in commercial billing. While the facility reports a median negotiated rate of $735.00 across 23 payers, this figure represents the maximum amount insurers agree to pay, not necessarily the amount a patient will owe. For patients with high-deductible plans, paying the cash price of $2,903.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
Patients should verify their specific plan's negotiated rate before scheduling, as in-network allowances vary widely among the 23 payers listed, ranging from $30 to $2,901. It is also important to inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window. Additionally, if you have insurance, ensure you do not sign any waivers that allow balance billing for out-of-network services, as the No Surprises Act protects you from being billed for the difference between the chargemaster and your allowed amount for emergency or non-emergency care at in-network facilities. Always request a detailed, itemized bill to review specific CPT codes and avoid unexpected charges