X-ray, ankle
Facility: Saint Luke'S South Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $525
- Cash Discount Price: $875
- vs. Medicare Baseline: 5.90x 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 590% of the Medicare baseline (a markup of 490%). 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 |
|---|---|---|
| Aetna | $29 - $1,663 | 33% |
| Humana | $30 - $48 | 34% |
| Blue Cross Blue Shield | $33 - $1,315 | 37% |
| Transplants-Case Rates [5750] | $41 - $1,751 | 46% |
| UnitedHealthcare | $42 - $296 | 47% |
| Medicaid / KanCare | $49 - $113 | 55% |
| Cigna | $85 - $1,329 | 96% |
| Commercial-Contracted [8000] | $251 - $1,417 | 282% |
| First Health [5512] | $692 - $1,038 | 778% |
Consumer Guidance & Cost Commentary
For the CPT code 73610 (X-ray, ankle) at Saint Luke's South Hospital in Overland Park, KS, the facility's cash median price of $875.00 is significantly lower than the average negotiated rates paid by major insurers. While commercial payers like Aetna, Humana, and Blue Cross Blue Shield typically negotiate rates ranging from $29 to $1,751, the cash price offers a substantial alternative for patients with high-deductible plans or those without insurance. It is important to note that cash payment can sometimes be cheaper than insurance reimbursement if the negotiated rate exceeds the cash price, which is common here. Patients should verify their specific plan's deductible status before scheduling, as paying the full cash price upfront may avoid out-of-pocket costs that would otherwise be covered by insurance once the deductible is met.
The facility's cash median of $875.00 is also notably higher than the state of Kansas average for this procedure, which is approximately $525.00 based on the median negotiated rate data provided. This discrepancy highlights the importance of comparing facility-specific cash rates against broader state or county averages to understand true pricing. If you receive a bill from this facility, you should request an itemized audit to ensure no errors exist, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. Additionally, if you are an out-of-network patient, you may be subject to balance billing for the difference between the facility's chargemaster rate and your insurance allowed amount; however, the No Surprises Act protects you from these surprise bills for emergency care and non-emergency services at in-network facilities