X-ray, ankle
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $301
- Cash Discount Price: $347
- vs. Medicare Baseline: 3.39x 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 339% of the Medicare baseline (a markup of 239%). 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 |
|---|---|---|
| Medicaid / KanCare | $18 - $84 | 20% |
| Aetna | $24 - $84 | 27% |
| Humana | $24 - $86 | 27% |
| Provider Partners Health Plans Contracted [320450] | $25 | 28% |
| First Health Contracted [320128] | $27 | 30% |
| Blue Cross Blue Shield | $49 - $113 | 55% |
| UnitedHealthcare | $61 - $590 | 69% |
| United Medical Resources Contracted [320454] | $61 - $102 | 69% |
| Tricare | $84 | 94% |
| Qual Choice Contracted [320325] | $84 | 94% |
| Globalhealth Contracted [320145] | $84 | 94% |
| Medical Associates Health Contracted [320444] | $84 | 94% |
| Cross Timbers Hospice [20098] | $84 | 94% |
| Pace Of The Ozarks Contracted [320518] | $84 | 94% |
| Halo Hcr Inc Hospice Contracted [320432] | $84 | 94% |
| Kindful Hospice [20434] | $84 | 94% |
| Halo Hcr Inc Hospice [20432] | $84 | 94% |
| Elara Caring Aspire Hospice [20433] | $84 | 94% |
| Kindful Hospice Contracted [320434] | $84 | 94% |
| Cherokee Nation Health Serv Contracted [320066] | $84 | 94% |
| Mercy Mgd Behavioral Health Contracted [320259] | $84 | 94% |
| Medicare (plans) | $84 | 94% |
| Mercy Hospice Okc [20252] | $84 | 94% |
| Cigna | $84 - $248 | 94% |
| Dept Of Veteran Affairs Contracted [320106] | $86 | 97% |
| Centivo Contracted [320505] | $86 | 97% |
| Benefit Management Contracted [320052] | $102 | 115% |
| Insurance System Inc Contracted [320465] | $102 | 115% |
| Healthscope Contracted [320182] | $102 - $478 | 115% |
| Point C Contracted [320238] | $102 - $478 | 115% |
| Health Systems Inc Contracted [320174] | $102 | 115% |
| Medica Contracted [320239] | $157 - $232 | 177% |
| Providrs Care Network Contracted [320484] | $163 | 183% |
| Mercy Benefit Admin Contracted [320251] | $168 - $447 | 189% |
| Show-Me Health Administrators Contracted [320483] | $168 | 189% |
| Auxiant Contracted [320462] | $301 - $478 | 339% |
| Imagine 360 Contracted [320494] | $301 - $447 | 339% |
| Edison Health Solutions Contracted [320502] | $301 - $447 | 339% |
| Yuzu Health Contracted [320521] | $301 - $447 | 339% |
| American Healthcare Alliance Contracted [320020] | $301 - $447 | 339% |
| Reflect Health Contracted [320492] | $301 - $447 | 339% |
| Ebms Contracted [320493] | $301 - $447 | 339% |
| Aither Health Contracted [320449] | $301 - $447 | 339% |
| Healthlink Contracted [320179] | $322 - $478 | 362% |
| Preferred Health Plan Contracted [320522] | $322 - $478 | 362% |
| Federal Medical Center Contracted [320127] | $322 - $478 | 362% |
| Compcare Of The Ozarks Contracted [320437] | $340 - $504 | 382% |
| Workers Comp [20426] | $344 - $510 | 387% |
| Private Health Care Systems Contracted [320320] | $398 - $590 | 448% |
| Multiplan Contracted [320270] | $408 - $606 | 459% |
| Multiplan [20270] | $408 - $606 | 459% |
Consumer Guidance & Cost Commentary
For an X-ray, ankle procedure at Mercy Specialty Hospital Southeast Kansas, the cash median rate is $347. This facility, a voluntary non-profit acute care hospital located in Galena, KS, lists a gross charge of $534 and a median negotiated rate of $301 across 51 payers. While the cash price is lower than the gross charge, it is important to note that for patients with high-deductible plans, the cash rate of $347 may be cheaper than the insurance negotiated rate of $301 if the allowed amount exceeds the cash price. For instance, UnitedHealthcare has a high-end negotiated rate of $590 and Blue Cross Blue Shield has a high-end rate of $113, which are significantly higher than the cash option. The facility does not have a published rating, and the data is from the 2026-06 vintage.
Patients should be aware that insurance negotiated rates often include administrative overhead and vary widely by payer, with some contracts ranging from $18 to $606 and others from $24 to $478. Because hospitals often submit claims to insurance even when a patient pays cash upfront, it is crucial to request a "waiver of insurance submission" form at registration to secure the cash price. Additionally, patients should ask about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days, as this bypasses costly claims processing. If a balance bill occurs, patients should verify if the service was out-of-network or if ancillary services like laboratory tests were billed separately, and they should demand an itemized C