X-ray, ankle
Facility: Trego County Lemke Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $191
- Cash Discount Price: $196
- vs. Medicare Baseline: 2.15x 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 215% of the Medicare baseline (a markup of 115%). 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 |
|---|---|---|
| Humana | $113 | 127% |
| Tricare | $122 | 137% |
| UnitedHealthcare | $143 - $230 | 161% |
| Va Ccn - All Plans | $143 | 161% |
| Medicaid / KanCare | $143 - $230 | 161% |
| Aetna | $143 - $207 | 161% |
| Ambetter / Centene | $157 | 177% |
| Blue Cross Blue Shield | $191 | 215% |
| Health Partners - All Plans | $218 | 245% |
| Healthy Blue Mcaid - All Plans | $230 | 259% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Trego County Lemke Memorial Hospital, the facility's cash price of $196.00 is lower than the average negotiated rate of $191.00 paid by most commercial payers, though it remains below the gross chargemaster of $230.00. While the facility is a Critical Access Hospital in Wakeeney, KS, with a government-local ownership structure, patients should note that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can further reduce out-of-pocket costs by bypassing administrative fees associated with insurance claims.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing markup; commercial rates are often significantly higher due to administrative overhead and contract dynamics. Although the data does not provide specific county or state average comparisons for this exact procedure, the facility's cash rate of $196.00 is notably higher than the national median paid amount of $143.00. If you receive a bill that exceeds your expected costs, you may be subject to balance billing if you are out-of-network, though the No Surprises Act protects you from such unexpected charges for emergency care and non-emergency services at in-network facilities. To ensure accuracy, always request a full itemized bill before paying, as summary bills may obscure unbundled codes or services not