X-ray, ankle
Facility: Kearny County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $220
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.47x 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 247% of the Medicare baseline (a markup of 147%). 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 |
|---|---|---|
| Kansas Solutions | $220 | 247% |
| Wps Gha - Mac J5 Part A | $220 | 247% |
| Community Care Health Plan Of | $220 | 247% |
| Luminare Health | $220 | 247% |
| Blue Cross Blue Shield | $220 | 247% |
| UnitedHealthcare | $220 | 247% |
| Aetna | $220 | 247% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Kearny County Hospital in Lakin, KS, the negotiated rate is $220.00, which matches the median negotiated rate across all payers. This amount is identical to the facility's cash median and the state average, indicating that the facility is charging the same rate regardless of payment method. While commercial insurance contracts often result in higher administrative costs that inflate prices above cash rates, this facility appears to have standardized its pricing, meaning patients with high-deductible plans might save money by paying the cash price directly rather than relying on insurance reimbursement.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing markup. The negotiated rate of $220.00 represents a 2.5x multiplier compared to the Medicare amount, which is consistent with typical commercial pricing structures where rates exceed Medicare benchmarks by 200% to 300%. Since the facility is a Critical Access Hospital with government-local ownership, patients should inquire about prompt-pay discounts, which can range from 20% to 50% off the billed amount for upfront payment. Additionally, because the facility is in-network for all listed payers, the No Surprises Act likely protects patients from unexpected balance billing for emergency services, though patients should still request an itemized bill to verify that all charges align with the negotiated rate.