X-ray, ankle
Facility: Kansas Heart Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $135
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.52x 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 |
|---|---|---|
| Wppa - All Plans | $60 | 67% |
| Tricare | $72 | 81% |
| Celtic Mcr Adv | $80 | 90% |
| UnitedHealthcare | $80 - $150 | 90% |
| Medicaid / KanCare | $80 - $150 | 90% |
| Humana | $80 | 90% |
| Blue Cross Blue Shield | $105 - $150 | 118% |
| Multiplan - All Plans | $135 | 152% |
| Aetna | $146 - $150 | 164% |
| Soonerselect Mcaid - All Plans | $150 | 169% |
| Celtic Mcaid - All Other Plans | $150 | 169% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Kansas Heart Hospital in Wichita, KS, the cash price of $94.00 is lower than the facility's negotiated rates, which range from $60 to $150 depending on the payer. While the facility's cash median of $94.00 is below the state average of $97.00, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as the negotiated rates for many payers exceed the cash price. It is important to note that while the facility offers a cash rate, patients should verify if their specific insurance plan has a lower allowed amount before scheduling, as some commercial payers may negotiate rates that are lower than the cash-pay option.
The facility's pricing structure reflects standard billing dynamics where commercial negotiated rates often exceed cash prices due to administrative costs and contract structures. For this specific service, the Medicare benchmark of $88.91 serves as a reliable baseline for evaluating the facility's pricing, showing that the cash rate is slightly higher than the federal government's calculated cost. Patients should be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, but it is crucial to request a full itemized bill to identify any unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts before check-in, as paying in full upfront can sometimes result in further fee reductions beyond the standard cash rate.