X-ray, ankle
Facility: Osborne County Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $183
- Cash Discount Price: $173
- vs. Medicare Baseline: 2.06x 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 206% of the Medicare baseline (a markup of 106%). 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 |
|---|---|---|
| UnitedHealthcare | $147 - $162 | 165% |
| Health Partners Of Kansas | $166 - $183 | 187% |
| Wppa | $183 - $202 | 206% |
| Blue Cross Blue Shield | $189 - $209 | 213% |
Consumer Guidance & Cost Commentary
For this X-ray, ankle procedure at Osborne County Memorial Hospital, the cash price of $173.00 is notably lower than the facility's negotiated rates with major payers like UnitedHealthcare and Health Partners Of Kansas, which range from $147 to $209. While the facility is a Critical Access Hospital in Osborne, KS, the data provided does not include specific county or state average comparisons for this service code. However, the cash rate of $173.00 is higher than the Medicare benchmark of $88.91, indicating a markup of 2.1 times the federal rate. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the negotiated rates often exceed the cash amount, potentially resulting in higher out-of-pocket costs if their insurance does not cover the full difference.
To minimize unexpected costs, patients should verify their specific plan's allowed amount and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final bill. It is important to note that while the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, patients should still request an itemized bill to ensure no unbundled charges or services not rendered are included. If a discrepancy arises between the expected cash rate and the final invoice, patients should dispute the bill in writing rather than accepting summary bills or verbal assurances, as over 80% of hospital bills contain errors that can be corrected through a formal audit.