X-ray, ankle
Facility: Ellinwood District Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $126
- Cash Discount Price: $153
- vs. Medicare Baseline: 1.42x 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 | $126 | 142% |
| Humana | $126 | 142% |
| Cigna | $126 | 142% |
| Blue Cross Blue Shield | $126 | 142% |
| UnitedHealthcare | $126 | 142% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Ellinwood District Hospital, the negotiated rate of $126.00 is consistent across all five major payers, including Aetna, Humana, Cigna, Blue Cross Blue Shield, and UnitedHealthcare. This uniformity suggests a standardized contract for this service within the facility. While the cash median price is $153.00, which is higher than the negotiated rate, patients with high-deductible plans might find paying cash upfront more beneficial if their insurance allowed amount exceeds the cash price. However, since the negotiated rate here is lower than the cash price, paying out-of-pocket would result in a higher cost. It is important to note that this facility is a Critical Access Hospital in Ellinwood, KS, and the data reflects a vintage of 2026-06.
The facility's negotiated rate of $126.00 aligns perfectly with the median paid amount of $126.00 and the median negotiated rate of $126.00, indicating no variation in payment across the five payer plans listed. When comparing to the Medicare amount of $88.91, the commercial rate represents a markup of 1.4 times the Medicare benchmark. This markup is typical for commercial insurance contracts which include administrative overhead and risk adjustments. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, they should still request an itemized bill to ensure no unexpected charges are included. Additionally, asking about prompt-pay discounts before scheduling could potentially lower the cost if the facility offers a reduction for upfront payment, though current data shows the cash price