X-ray, ankle
Facility: Grisell Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $202
- Cash Discount Price: $220
- vs. Medicare Baseline: 2.27x 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 227% of the Medicare baseline (a markup of 127%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $131 | 147% |
| UnitedHealthcare | $172 - $231 | 193% |
| Medicaid / KanCare | $231 | 260% |
| Humana | $231 | 260% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Grisell Memorial Hospital in Ransom, Kansas, the facility's cash median price is $220.00, which is lower than the negotiated rates charged to most insurance payers. While the facility's cash rate is slightly below the state average of $220.00, patients with high-deductible plans may find it beneficial to pay the cash price directly, as the insurance negotiated rates for UnitedHealthcare and Blue Cross Blue Shield range from $172.00 to $231.00. It is important to note that commercial rates often include administrative overhead and contract markups, making the cash price a potentially more affordable option for those who have not yet met their deductible or are seeking the lowest possible out-of-pocket cost.
To ensure you are not overcharged, always request an itemized bill before finalizing payment, as summary bills can obscure individual charges or unbundled codes. If you receive a balance bill for the difference between the provider's full charge and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates insurance rates. Comparing your final amount to the Medicare benchmark of $88.91 reveals the true cost baseline, showing that the facility's rates are significantly higher than the federal government's fixed reimbursement rate.