X-ray, ankle
Facility: Great Plains Of Sabetha
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $205
- Cash Discount Price: $216
- vs. Medicare Baseline: 2.31x 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 231% of the Medicare baseline (a markup of 131%). 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 |
|---|---|---|
| Celtic Mcr Adv | $108 - $115 | 121% |
| Aetna | $109 - $224 | 123% |
| Celtic Comm Exchange-All Other Plans | $135 - $144 | 152% |
| Great West Healthcare-All Plans | $176 - $189 | 198% |
| UnitedHealthcare | $193 - $222 | 217% |
| Humana | $197 - $211 | 222% |
| Cigna | $197 - $211 | 222% |
| Multiplan-Phcs-All Plans | $197 - $211 | 222% |
| Century/Wppa/Providers-All Plans | $197 - $211 | 222% |
| Federated Mutual Ins-All Plans | $199 - $213 | 224% |
| Medicaid / KanCare | $207 - $222 | 233% |
| Blue Cross Blue Shield | $207 - $222 | 233% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Great Plains Of Sabetha in Sabetha, KS, the facility's cash price is $216.00, which matches the cash median for this service. This cash rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 2.3 times the federal rate. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates for this service range from $108 to $224 across 12 different payers. Because these negotiated rates often exceed the cash price, individuals with high-deductible plans may find it financially advantageous to pay the full cash amount upfront, potentially saving money compared to the insurance allowed amount.
To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to avoid balance billing by ensuring the facility is in-network for your plan, as the No Surprises Act protects against unexpected out-of-network charges for emergency care and non-emergency services at in-network facilities. If you receive a bill, always request a detailed, itemized statement rather than accepting a summary invoice, and verify that no services were unbundled or rendered incorrectly before making a payment.