X-ray, ankle
Facility: Kansas Surgery & Recovery Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $81
- Cash Discount Price: $190
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $42 - $80 | 47% |
| Triwest | $80 | 90% |
| Blue Cross Blue Shield | $80 - $106 | 90% |
| UnitedHealthcare | $81 - $191 | 91% |
| Cigna | $191 | 215% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Kansas Surgery & Recovery Center in Wichita, KS, the facility's cash median price is $190.00, which aligns exactly with the gross charge of $191.00. This cash rate is significantly higher than the state average, as the facility's negotiated rates with major payers like Aetna, Triwest, and Blue Cross Blue Shield range from $42 to $106, while UnitedHealthcare and Cigna rates reach up to $191. Patients with high-deductible plans should consider paying cash upfront, as the cash price of $190.00 is often lower than the insurance negotiated rates they would otherwise face, potentially saving money after deductibles are met. It is important to note that the facility offers a voluntary non-profit status, and patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling to avoid being billed the full gross amount.
The facility's pricing structure relies on standard insurance negotiations rather than balance billing, as the listed rates represent the maximum amounts commercial insurers are contractually allowed to pay. While the data does not provide a specific median paid amount for insurance claims, the facility's rates are benchmarked against Medicare, which sets a baseline of $88.91 for this service. The facility's negotiated rates generally exceed the Medicare amount, reflecting the administrative costs and profit margins inherent in commercial contracts. To ensure you receive the most accurate pricing, always verify your specific plan's allowed amount with the hospital prior to your visit, as individual plan allowances can vary even within the same payer network.