X-ray, ankle
Facility: Graham County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $147
- Cash Discount Price: $190
- vs. Medicare Baseline: 1.65x 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 |
|---|---|---|
| Medicaid / KanCare | $118 | 133% |
| UnitedHealthcare | $118 - $180 | 133% |
| Blue Cross Blue Shield | $138 | 155% |
| Medicare (plans) | $142 | 160% |
| Celtic Commercial-All Other Plans | $157 | 177% |
| Wppa (Providers Care)-All Plans | $180 | 202% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Graham County Hospital in Hill City, Kansas, the cash price is $190.00, which matches the facility's median negotiated rate of $147.00 and the state average. While Medicaid/KanCare pays a fixed $118.00 and UnitedHealthcare ranges from $118.00 to $180.00 depending on the specific plan, patients with high-deductible plans may find paying cash directly cheaper than their insurance negotiated rate, which can exceed the cash price. Because the facility is a Critical Access Hospital owned by the local government, it is important to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can further reduce the final cost.
When reviewing your bill, ensure you request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. This detailed audit allows you to identify charges for supplies or tests that were never delivered and prevents double-billing. Additionally, this rate is significantly higher than the Medicare benchmark of $88.91, reflecting the typical administrative markup inherent in commercial insurance contracts. If you receive a balance bill for the difference between the allowed amount and your cash payment, you may be able to dispute it under the No Surprises Act, particularly if the service was part of an emergency or non-emergency visit at an in-network facility.