X-ray, ankle
Facility: Cloud County Health Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $680
- Cash Discount Price: $501
- vs. Medicare Baseline: 7.65x 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 765% of the Medicare baseline (a markup of 665%). 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 |
|---|---|---|
| Aetna | $645 - $666 | 725% |
| Health Partners - All Plans | $680 | 765% |
| Pponext-All Plans | $680 | 765% |
| Mpi-All Plans | $680 | 765% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Cloud County Health Center in Concordia, KS, the facility's cash median price is $501.00, which is lower than the state average of $501.00 and the county average of $501.00. While the facility's negotiated rates with major payers like Aetna, Health Partners, and others are set at $680.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds this figure. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, so comparing directly to the cash rate or Medicare benchmark is more effective than relying on the facility's gross chargemaster of $716.00.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is still wise to request a self-pay or prompt-pay discount before scheduling, as these upfront payments can bypass costly claims processing and administrative fees. If a bill is received, consumers should demand a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. By disputing any discrepancies in writing and verifying that all charges align with the specific procedure code, patients can ensure they are not paying for unnecessary ancillary services or inflated markups that exceed fair pricing standards relative to the Medicare rate of $88.91.