X-ray, ankle
Facility: Goodland Regional Medical Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $188
- Cash Discount Price: $282
- 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 | $139 | 156% |
| Wppa | $178 - $376 | 200% |
| UnitedHealthcare | $188 - $376 | 211% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Goodland Regional Medical Center in Goodland, KS, the cash price is $282.00, which is lower than the facility's gross charge of $314.00. While the facility is a Critical Access Hospital with government-local ownership, patients should note that commercial insurance rates often exceed cash prices due to administrative overhead and contract structures. For instance, the median negotiated rate for Wppa and UnitedHealthcare is $188.00, which is still higher than the cash price, meaning patients with high-deductible plans might save money by paying cash directly. Additionally, the facility offers a prompt-pay discount for upfront billing, which can further reduce the final amount owed by bypassing costly insurance claims processing.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's gross list price. The Medicare amount for this code is $88.91, and the facility's cash rate of $282.00 represents a markup of 2.1 times the Medicare rate. Although specific county or state average data was not provided in the source information, the facility's pricing is transparent regarding its cash and negotiated tiers. To ensure you are receiving the best possible rate, we recommend requesting an itemized billing audit to verify all charges and asking the billing department specifically about self-pay or prompt-pay discounts before scheduling your appointment.