X-ray, ankle
Facility: Greenwood County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $151
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.70x 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 |
|---|---|---|
| Triwest - All Plans | $62 - $84 | 70% |
| UnitedHealthcare | $73 - $198 | 82% |
| Choicecare Mcr Adv - All Plans | $73 - $99 | 82% |
| Tricare | $73 - $99 | 82% |
| Integrated Health Plan - All Plans | $130 - $177 | 146% |
| Blue Cross Blue Shield | $131 - $138 | 147% |
| First Health - All Other Plans | $147 - $201 | 165% |
| Beech Street - All Plans | $147 - $201 | 165% |
| First Health Ccn Network | $147 - $201 | 165% |
| Preferred Hs (Coventry) - All Plans | $156 - $212 | 175% |
| Principal Health Care Inc - All Plans | $164 - $224 | 184% |
| Medicaid / KanCare | $173 - $236 | 195% |
| Amerigroup Mcaid-All Plans | $173 - $236 | 195% |
| Providrs Care/Wppa - All Plans | $260 - $354 | 292% |
Consumer Guidance & Cost Commentary
For the CPT code 73610 (X-ray, ankle) at Greenwood County Hospital in Eureka, Kansas, the facility's cash median rate is $164.00, while the median negotiated rate for in-network insurance is $151.00. This specific procedure is billed at a markup of 1.7 times the Medicare amount of $88.91. While the facility is a Critical Access Hospital owned by the local government, patients should note that cash payments can sometimes be more cost-effective than using insurance if their plan has a high deductible, as the negotiated rate of $151.00 may exceed the cash price of $164.00 depending on out-of-pocket maximums. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront fee reductions can lower the final cost significantly.
The data provided does not include specific comparative averages for the state or county, so direct comparisons to regional pricing benchmarks are not possible with the current information. However, the facility's pricing structure aligns with standard billing principles where commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. To ensure you are receiving the most accurate and transparent pricing, patients should request an itemized bill that breaks down the exact CPT codes and unit costs, avoiding summary bills that may obscure individual charges. If any discrepancies arise, such as unbundled codes or services not rendered, a formal written audit dispute should be sent to the billing supervisor to resolve errors before payment is finalized.