X-ray, ankle
Facility: Minneola District Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $164
- Cash Discount Price: $130
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| UnitedHealthcare | $8 - $190 | 9% |
| Va Community Care Program-All Plans | $8 - $127 | 9% |
| Humana | $8 - $127 | 9% |
| Medicaid / KanCare | $29 - $190 | 33% |
| Providrs Care Network-All Plans | $29 - $162 | 33% |
| Aetna | $29 - $190 | 33% |
| Blue Cross Blue Shield | $139 | 156% |
| Corporate Plan Management-All Plans | $157 - $162 | 177% |
| Triwest-All Plans | $166 - $171 | 187% |
| Preferred Health Care (Coventry)-All Other Plans | $166 - $171 | 187% |
| Health Partners Of Kansas-All Plans | $176 - $180 | 198% |
| Phc (Coventry) Leased Network | $176 - $180 | 198% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Minneola District Hospital, the cash price is $130.00, which is lower than the state average of $169.00. While many insurance plans negotiate rates ranging from $8 to $190, the cash rate can be a more cost-effective option for patients with high-deductible plans, as the insurance negotiated rate often exceeds the cash price. To maximize savings, patients should verify their specific plan's allowed amount and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract structures, sometimes reaching 200% to 300% of the Medicare benchmark rate of $88.91 for this service. Since Medicare represents the true cost of delivery, comparing your commercial rate to this federal baseline reveals the actual markup rather than the hospital's inflated chargemaster list. If you receive a bill that includes charges for services not rendered or unbundled components, you have the right to request a formal itemized audit to identify errors before paying, ensuring you are only responsible for accurate, transparent costs.