X-ray, ankle
Facility: Wichita County Health Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $373
- Cash Discount Price: $327
- vs. Medicare Baseline: 4.20x 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 420% of the Medicare baseline (a markup of 320%). 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 | $337 | 379% |
| UnitedHealthcare | $409 | 460% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $327.00 is lower than the state average of $337.00, making it a cost-effective option for self-pay patients. While Medicaid / KanCare members pay the full negotiated rate of $337.00 due to a single plan contract, UnitedHealthcare members are billed the same amount. If you have a high-deductible plan, paying the cash price of $327.00 upfront could save you money compared to your insurance's negotiated rate, provided you have not yet met your deductible. Always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower your out-of-pocket costs.
This service is provided by a Critical Access Hospital, a facility type often subject to specific federal pricing rules that may influence rates. The Medicare benchmark for this procedure is $88.91, which serves as the objective baseline for evaluating the facility's pricing markup; the cash price of $327.00 represents a significant premium over this federal cost basis. If you receive a bill that includes charges for services not rendered, unbundled codes, or items that were cancelled, you should request a formal itemized billing audit to identify errors before paying. Remember that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, so do not sign away your rights to dispute unexpected charges without first reviewing your itemized statement.