X-ray, ankle
Facility: Lindsborg Community Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $655
- Cash Discount Price: $501
- vs. Medicare Baseline: 7.37x 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 737% of the Medicare baseline (a markup of 637%). 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 | $138 | 155% |
| Tricare | $337 | 379% |
| Coventry Mcr Adv | $340 | 382% |
| Cigna | $609 | 685% |
| UnitedHealthcare | $645 | 725% |
| Coventry Comm-All Other Plans | $645 | 725% |
| Multiplan-All Plans | $666 | 749% |
| Phcs Preferred-All Plans | $666 | 749% |
| Health Partners -All Plans | $680 | 765% |
| Wppa-All Plans | $680 | 765% |
| Coventry Wc | $680 | 765% |
| Century Health-All Plans | $680 | 765% |
Consumer Guidance & Cost Commentary
For the CPT code 73610 (X-ray, ankle) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash median rate is $501.00, which is lower than the state average of $666.00. While the facility's negotiated rates for in-network payers range from $138 to $680, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $501.00. It is important to note that the facility is a Critical Access Hospital with voluntary non-profit ownership, and specific self-pay or prompt-pay discounts should be confirmed directly with the hospital before scheduling to ensure the lowest possible out-of-pocket cost.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating pricing fairness; commercial negotiated rates often exceed this by significant margins due to administrative structures and contract dynamics. Although the data shows a "vs_medicare" metric of 7.4, this figure likely reflects a specific calculation method rather than a direct percentage markup, so consumers should rely on the absolute dollar amounts provided. To avoid unexpected costs, patients should request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and any surprise bills should be disputed in writing with the insurer rather than paid immediately.