X-ray, ankle
Facility: Morris County Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $165
- Cash Discount Price: $254
- vs. Medicare Baseline: 1.86x 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $28 | 31% |
| Blue Cross Blue Shield | $132 - $165 | 148% |
| Choice Care Mcr Adv-All Plans | $165 | 186% |
| Va Ccn-All Plans | $165 | 186% |
| Coventry Mcr | $165 | 186% |
| UnitedHealthcare | $165 - $424 | 186% |
| Cigna | $307 | 345% |
| Aetna | $380 | 427% |
| Multiplan-All Plans | $382 | 430% |
| Coventry Comm-All Other Plans | $382 | 430% |
Consumer Guidance & Cost Commentary
For this X-ray of the ankle at Morris County Hospital in Council Grove, Kansas, the facility's cash median price of $254.00 is significantly higher than the state average for this procedure, which is approximately $165.00. While the hospital offers a negotiated rate of $165.00 for in-network plans, this amount is still above the state average and lower than the facility's gross charge of $424.00. Patients with high-deductible plans or those without insurance may find it beneficial to pay the cash price directly, as it is lower than the negotiated rate paid by many commercial insurers. It is important to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final cost.
The Medicare benchmark for this service is $88.91, which serves as a critical baseline for understanding the facility's pricing structure. The hospital's gross charge of $424.00 represents a substantial markup compared to the Medicare rate, illustrating the difference between the facility's list price and the federal government's cost-based reimbursement. Although the facility is a Critical Access Hospital owned by the local government, commercial insurance contracts often result in higher allowed amounts than cash payments due to administrative overhead and contract dynamics. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network care at in-network facilities, it is essential to verify network status and request an itemized bill to ensure no unexpected charges are included in the final invoice.