X-ray, ankle
Facility: Hodgeman County Health Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $188
- Cash Discount Price: $214
- vs. Medicare Baseline: 2.11x 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 211% of the Medicare baseline (a markup of 111%). 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 | $132 - $139 | 148% |
| UnitedHealthcare | $171 - $254 | 192% |
| Humana | $171 | 192% |
| Medicaid / KanCare | $171 - $267 | 192% |
| Triwest - All Plans | $171 | 192% |
| Aetna | $214 | 241% |
| First Health - All Plans | $240 | 270% |
| Wppa (Provdrscare) - All Plans | $254 | 286% |
| Health Partners - All Plans | $254 | 286% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Hodgeman County Health Center in Jetmore, KS, the facility's cash price of $214.00 is notably higher than the state average for this service. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare and Medicaid/KanCare plans have negotiated rates ranging from $171 to $267, which can be higher than the cash option. This dynamic suggests that for patients with high-deductible plans or those who have already met their deductible, paying the cash price directly may result in lower out-of-pocket costs compared to the insurance negotiated rate.
To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly claims processing. Additionally, it is important to compare these rates against the Medicare benchmark of $88.91; commercial negotiated rates frequently average between 200% and 300% of this federal baseline, whereas fair pricing is typically defined as 120% to 150%. If you receive a bill, request a detailed itemized statement to verify that no services were double-billed or unbundled, ensuring you are only paying for the specific CPT code rendered.