X-ray, ankle
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $80
- Cash Discount Price: $232
- vs. Medicare Baseline: 0.90x 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.
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 |
|---|---|---|
| Humana | $78 | 88% |
| Providrs Care Network | $80 | 90% |
| UnitedHealthcare | $80 - $97 | 90% |
| Aetna | $80 - $100 | 90% |
| United Mine Workers Of America | $80 | 90% |
| Blue Cross Blue Shield | $80 | 90% |
| Lantern Specialty Care | $128 | 144% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Kansas Spine & Specialty Hospital, Llc, the facility's cash median price of $232.00 is significantly lower than the negotiated rates charged to most major payers, which range from $78 to $128 depending on the plan. While the facility's cash rate is higher than the Medicare benchmark of $88.91, it remains substantially below the commercial negotiated amounts that insurance companies typically pay, which can exceed $100 for many plans. This pricing structure highlights a common scenario where paying out-of-pocket directly may result in lower costs compared to having insurance cover the service, particularly if the patient has a high deductible or if the insurance allowed amount exceeds the cash price.
Patients should be aware that while the facility is an in-network provider for several major insurers, the actual cost varies by plan, with UnitedHealthcare showing a wide range from $80 to $97 across three different plans. To potentially reduce costs further, individuals should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can offer additional reductions for upfront payment. Furthermore, if a patient receives a bill that includes unexpected charges from out-of-network services, they should request an itemized audit to verify that all services rendered were correctly coded and that no balance billing occurred, as federal protections like the No Surprises Act may apply to certain emergency or non-emergency scenarios.