X-ray, ankle
Facility: Kiowa County Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $252
- Cash Discount Price: $223
- vs. Medicare Baseline: 2.83x 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 283% of the Medicare baseline (a markup of 183%). 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 - $280 | 156% |
| UnitedHealthcare | $168 - $315 | 189% |
| Health Partners Of Ks-All Plans | $185 - $277 | 208% |
| Medica Prime Mcare Cost-All Plans | $187 - $280 | 210% |
| Humana | $187 - $280 | 210% |
| Aetna | $187 - $280 | 210% |
| Celtic Comml Exchange-All Other Plans | $187 - $280 | 210% |
| Medicaid / KanCare | $210 - $315 | 236% |
| Providrs Care/Wppa-All Plans | $315 - $472 | 354% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Kiowa County Memorial Hospital in Greensburg, KS, the cash median price is $223.00, which is lower than the facility's gross charge of $263.00. While the hospital is a Critical Access Hospital with government-local ownership, patients should be aware that many commercial payers, including Blue Cross Blue Shield and UnitedHealthcare, have negotiated rates ranging from $139 to $315, which often exceed the cash price. This dynamic suggests that for patients with high-deductible plans, paying the cash median of $223.00 upfront could result in lower out-of-pocket costs compared to insurance claims that may allow higher negotiated amounts. To maximize savings, patients should explicitly request a self-pay classification and prompt-pay discount before scheduling, as these upfront incentives can bypass administrative fees and reduce the final bill by 20% to 50%.
The facility's pricing structure is anchored by a Medicare amount of $88.91, which serves as a critical benchmark for evaluating commercial rates. Commercial negotiated rates for this service generally range from $139 to $472 across various payers, with the median negotiated amount standing at $252.00. Since the provided data does not include specific county or state average comparisons, patients should rely on the Medicare rate as the most reliable indicator of the true cost of care. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients must still verify their specific plan details and deductible status before relying on insurance to cover these services