X-ray, ankle
Facility: Cheyenne County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $222
- Cash Discount Price: $199
- vs. Medicare Baseline: 2.50x 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 250% of the Medicare baseline (a markup of 150%). 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 | $138 | 155% |
| First Health - All Plans | $164 | 184% |
| UnitedHealthcare | $168 - $234 | 189% |
| Aetna | $168 - $222 | 189% |
| Healthy Blue Mcr Adv | $168 | 189% |
| Tricare | $168 | 189% |
| Choice Care - All Plans | $170 | 191% |
| Firstguard - All Plans | $187 | 210% |
| Wppa - All Plans | $211 | 237% |
| Preferred Hc - All Plans | $222 | 250% |
| Cpm - All Plans | $222 | 250% |
| Midlands Choice - All Plans | $227 | 255% |
| Ppo Next - All Plans | $229 | 258% |
| Integrated Hp - All Plans | $229 | 258% |
| Unicare - All Plans | $229 | 258% |
| Health Partners - All Plans | $229 | 258% |
| Healthwave Mcaid - All Plans | $234 | 263% |
| Healthy Blue Mcaid - All Other Plans | $234 | 263% |
| Childrens Mercy - All Plans | $234 | 263% |
| Providers Care-All Plans | $351 | 395% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Cheyenne County Hospital, the facility's cash median price of $199.00 is lower than the state average of $211.00. While many insurance plans negotiate rates ranging from $138 to $351, patients with high-deductible plans may find paying cash directly more cost-effective, as the cash price is often below the insurer's negotiated ceiling. To secure the lowest possible rate, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront.
When comparing commercial rates to the Medicare benchmark of $88.91, the facility's cash price represents a markup of approximately 223%, which aligns with the typical range of 200% to 300% seen in commercial pricing. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network emergency services at in-network facilities, patients should still request an itemized bill to verify that no unbundled codes or services not rendered have been charged. If a discrepancy is found, a formal written audit dispute should be sent to the billing supervisor to ensure the final invoice reflects only the accurate, rendered services.