X-ray, ankle
Facility: Stanton County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $314
- Cash Discount Price: $331
- vs. Medicare Baseline: 3.53x 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 353% of the Medicare baseline (a markup of 253%). 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 | $132 - $314 | 148% |
| Healthy Blue Mcr Adv - All Other Plans | $324 | 364% |
| Healthy Blue Mcaid | $331 | 372% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Stanton County Hospital in Johnson, KS, the cash price is $331.00, which matches the facility's negotiated rate with Healthy Blue Mcaid. This cash price is notably higher than the state and county average for this service, which is $88.91 (Medicare amount). While commercial insurance plans like Blue Cross Blue Shield and Healthy Blue Mcr Adv have negotiated rates ranging from $314 to $331, these amounts are significantly above the Medicare benchmark. Patients with high-deductible plans may find that paying the full cash price of $331.00 upfront is more cost-effective than using insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To minimize costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing insurance claims processing fees. It is important to note that while the facility is a Critical Access Hospital with government-local ownership, the charged amount for this service does not reflect the federal Medicare benchmark of $88.91. If you are using insurance, ensure you understand your deductible status, as you may be responsible for the full negotiated rate if you have not yet met your out-of-pocket threshold. Always request an itemized bill to confirm that no services were bundled or double-charged, and do not pay a balance bill immediately without disputing it under the No Surprises Act if you are an out-of-network patient receiving care at an in-network facility.