X-ray, ankle
Facility: Nemaha Valley Community Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $138
- Cash Discount Price: $237
- vs. Medicare Baseline: 1.55x 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 |
|---|---|---|
| Humana | $116 | 130% |
| Va Ccn - All Plans | $116 | 130% |
| Aetna | $117 - $224 | 132% |
| Celtic Comm Exch - All Plans | $127 | 143% |
| Partners Direct Health - All Plans | $137 | 154% |
| Blue Cross Blue Shield | $139 | 156% |
| Multiplan - All Plans | $237 | 267% |
| Health Partners - All Plans | $250 | 281% |
| Midlands Choice - All Plans | $250 | 281% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash price of $237.00 is notably higher than the state average, which sits at $138.00. While commercial insurance negotiated rates range from $116 to $250 depending on the plan, patients should be aware that cash payments can sometimes be more cost-effective if their insurance negotiated rate exceeds the cash price. This facility, a Critical Access Hospital, operates under a voluntary non-profit structure, and while the gross charge is $263.00, the actual amount paid by insurers varies significantly based on the specific plan.
To minimize out-of-pocket costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. It is also important to understand that Medicare rates for this service are $88.91, serving as a benchmark for fair pricing; commercial rates often exceed this baseline due to administrative overhead and contract dynamics. If you receive a bill, request a full itemized statement to verify that all charges are accurate and that no services were bundled incorrectly, as over 80% of hospital bills contain errors that can be corrected through a formal audit.