X-ray, ankle
Facility: F W Huston Medical Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $204
- Cash Discount Price: $257
- vs. Medicare Baseline: 2.29x 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 229% of the Medicare baseline (a markup of 129%). 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 | $139 | 156% |
| Aetna | $180 - $302 | 202% |
| Humana | $190 - $318 | 214% |
| Cigna | $204 - $342 | 229% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at F W Huston Medical Center in Winchester, KS, the facility's cash median price of $257.00 is notably higher than the state average of $253.00. While this represents a fair price for self-pay patients, it is important to note that commercial insurance negotiated rates for this service range from $139 to $342 depending on the payer. For patients with high-deductible plans, paying the cash price of $257.00 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill.
The facility's negotiated rates with major payers like Aetna and Humana average around $204.00, which is lower than the gross chargemaster price of $321.00 but still higher than the cash option. This pricing structure aligns with standard commercial billing practices where administrative costs and contract dynamics influence the final rate. If you receive a bill from this facility, you should request a full itemized CPT-coded statement to verify that no unbundled charges or services not rendered are included, as over 80% of hospital bills contain errors. Furthermore, if you are an out-of-network patient receiving care at this in-network facility, you may be protected from balance billing for emergency services under the No Surprises Act, so it is advisable to dispute any unexpected charges immediately rather than accepting summary bills as final