X-ray, ankle
Facility: Girard Medical Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $124
- Cash Discount Price: $212
- vs. Medicare Baseline: 1.39x 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 |
|---|---|---|
| Humana | $124 | 139% |
| Ambetter / Centene | $124 | 139% |
| Kansas Superior Select-All Plans | $124 | 139% |
| UnitedHealthcare | $124 - $336 | 139% |
| Blue Cross Blue Shield | $124 - $139 | 139% |
| Medicare (plans) | $124 | 139% |
| Aetna | $124 - $620 | 139% |
| Multiplan-All Plans | $327 | 368% |
| Uhhis-All Plans | $336 | 378% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Girard Medical Center in Girard, KS, the facility's cash median price is $212.00, while the median amount paid by insurance is $124.00. This indicates that for patients with high-deductible plans or those without insurance, paying cash upfront could be more cost-effective than relying on insurance, as the negotiated rates from major payers like UnitedHealthcare and Aetna range from $124 to $620. Since this facility is a Critical Access Hospital owned by a Government Hospital District, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost compared to the standard insurance allowed amounts.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $88.91 for this procedure. The commercial negotiated rates are approximately 1.4 times the Medicare amount, reflecting the administrative costs and contract dynamics typical of in-network billing. While the data does not provide specific county or state average comparisons for this specific code, the significant variance between the cash price ($212.00) and the highest negotiated rates (up to $620.00) highlights the importance of verifying your specific plan's allowed amount. To avoid unexpected costs, patients should request an itemized bill to ensure no unbundled codes or services not rendered are included, and should dispute any balance bills immediately if they arise from out-of-network ancillary services, as federal protections like the No Surprises Act may apply.