X-ray, ankle
Facility: Kansas Medical Center Llc
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $77
- Cash Discount Price: $110
- vs. Medicare Baseline: 0.87x 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 | $46 | 52% |
| Medicaid / KanCare | $49 | 55% |
| Indian Health | $72 | 81% |
| Tricare | $72 | 81% |
| Wppa | $73 | 82% |
| Humana | $80 | 90% |
| Ambetter / Centene | $80 | 90% |
| Medadv_Wellcare | $80 | 90% |
| Blue Cross Blue Shield | $80 - $133 | 90% |
| United | $84 | 94% |
| Three_Rivers | $160 | 180% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Kansas Medical Center Llc in Andover, the cash price is $110.00, which is lower than the facility's gross charge of $184.00. While the median negotiated rate across payers is $77.00, some insurance plans, such as Blue Cross Blue Shield, have a range of $80.00 to $133.00, meaning patients with high-deductible plans might save money by paying the cash price of $110.00 directly rather than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not been met. It is important to note that while the facility is an in-network Acute Care Hospital, the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at this location, though patients should still verify their specific plan details to avoid unexpected charges.
The facility's cash rate of $110.00 is significantly higher than the state of Kansas average for this procedure, which is approximately $110.00, but lower than the gross chargemaster list price. Patients should be aware that hospitals often offer prompt-pay discounts for self-pay patients who settle their bill upfront, which can reduce the final amount owed. To ensure you receive the best possible rate, we recommend contacting the billing department directly to confirm if a self-pay discount or prompt-pay reduction is available before scheduling your visit. Always request an itemized bill to review the specific CPT codes and avoid paying for services that were not rendered or that were incorrectly bundled.