X-ray, ankle
Facility: Community Memorial Healthcare, Inc.
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $139
- Cash Discount Price: $220
- vs. Medicare Baseline: 1.56x 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 |
|---|---|---|
| Aetna | $39 - $266 | 44% |
| UnitedHealthcare | $48 - $203 | 54% |
| Blue Cross Blue Shield | $139 | 156% |
Consumer Guidance & Cost Commentary
For this X-ray ankle procedure at Community Memorial Healthcare, Inc., the cash price of $220.00 is significantly lower than the negotiated rates paid by major insurers like UnitedHealthcare ($48–$203) and Aetna ($39–$266). While the facility's cash rate matches the cash median for this service, patients with high-deductible plans may find paying out-of-pocket cheaper than their insurance would allow, as the negotiated rates often exceed the cash price. It is important to note that while the facility is a Critical Access Hospital in Marysville, KS, with a 4-star rating, the specific negotiated rates vary by payer plan, meaning the actual amount you owe depends on your individual policy details rather than a single fixed number.
The facility's pricing is also notable when compared to the national benchmark; the Medicare rate for this service is $88.91, and the facility's cash price is 1.6 times the Medicare amount. Because commercial negotiated rates frequently include administrative overhead and do not reflect the true cost of care, comparing them to the hospital's gross chargemaster can be misleading. If you choose to pay cash, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Additionally, if you have insurance, ensure you understand your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than the cash option.