X-ray, ankle
Facility: Wamego Health Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $46
- Cash Discount Price: $165
- vs. Medicare Baseline: 0.52x 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 |
|---|---|---|
| UnitedHealthcare | $7 - $74 | 8% |
| Medicaid / KanCare | $7 - $77 | 8% |
| Aetna | $7 - $77 | 8% |
| Providrs Care | $11 - $46 | 12% |
| Tricare | $46 | 52% |
| Blue Cross Blue Shield | $183 - $193 | 206% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Wamego Health Center, the cash median price is $165.00, which is significantly lower than the facility's gross charge of $413.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range between $7 and $77, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying cash directly. It is important to note that Medicaid/KanCare and Tricare have negotiated rates of $7 to $77 and $46, respectively, which are higher than the cash rate. To ensure you receive the best possible price, we recommend asking the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
When evaluating this cost, it is essential to compare rates against the Medicare benchmark rather than the facility's inflated list price. The Medicare amount for this service is $88.91, which serves as the objective baseline for fair pricing. Although the data does not provide specific state or county average comparisons for this specific code, the Medicare rate reveals that the facility's gross charge represents a substantial markup. Patients should be aware that commercial negotiated rates often include administrative overhead, which can inflate the baseline price by 20% to 40% compared to the true cost of care. If you receive a bill that appears higher than expected, request an itemized audit to verify that all charges are accurate and that no services were unbundled or duplicated.