X-ray, ankle
Facility: Hospital District #6 Patterson Health Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $171
- Cash Discount Price: $152
- vs. Medicare Baseline: 1.92x 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 |
|---|---|---|
| Blue Cross Blue Shield | $131 - $138 | 147% |
| UnitedHealthcare | $171 - $190 | 192% |
| Providers Care (Wppa)-All Plans | $332 | 373% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's negotiated rate of $171.00 aligns exactly with the median paid amount reported for this service. This rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 1.9 times the federal standard. While the facility is a Critical Access Hospital owned by a government authority, patients should note that the cash median price of $152.00 is lower than the negotiated rate, which can be advantageous for those with high-deductible plans or those who have already met their out-of-pocket limits.
To minimize costs, consumers should verify whether the facility offers self-pay or prompt-pay discounts before scheduling, as paying upfront can sometimes bypass administrative fees and reduce the final bill. Although the data does not provide specific county or state average comparisons for this procedure, it is important to remember that in-network rates are contractually capped but often inflated by administrative overhead compared to direct cash payments. Patients are encouraged to request an itemized bill to ensure no errors exist and to confirm that any "savings" cited are based on the Medicare benchmark rather than the facility's inflated chargemaster list.