X-ray, ankle
Facility: Hamilton County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $133
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.50x 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.
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 | $66 - $139 | 74% |
| First Health Coventry - All Plans | $119 | 134% |
| UnitedHealthcare | $133 | 150% |
| Cigna | $133 | 150% |
| Va Ccn - All Plans | $140 | 157% |
| Aetna | $238 | 268% |
Consumer Guidance & Cost Commentary
For the CPT code 73610 (X-ray, ankle) at Hamilton County Hospital in Syracuse, KS, the cash price is $140.00, which matches the facility's gross charge. While the median negotiated rate across six payers is $133.00, this amount is slightly higher than the cash price, meaning patients with high-deductible plans might save money by paying cash directly. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, as paying upfront can sometimes bypass administrative fees and result in a lower final bill than the standard negotiated rate.
The facility's pricing for this service is benchmarked against the Medicare rate of $88.91, which serves as a scientifically validated baseline for healthcare costs. Although the data does not provide specific averages for the state or county, the Medicare rate indicates that the facility's cash price represents a markup of approximately 57% over the federal government's cost basis. This comparison highlights that commercial negotiated rates often exceed the true cost of care due to administrative overhead and contract dynamics. To ensure you are receiving fair pricing, we recommend requesting a full itemized bill to review every CPT code and unit cost, as summary bills can sometimes obscure unbundled charges or services not rendered.