X-ray, ankle
Facility: Neosho Memorial Regional Medical Center
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $113
- Cash Discount Price: $265
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Medicaid / KanCare | $49 | 55% |
| Tricare | $109 | 123% |
| Blue Cross Blue Shield | $113 - $154 | 127% |
| Medadv_Allwell | $113 | 127% |
| Humana | $113 | 127% |
| Medicare (plans) | $113 | 127% |
| Va_Ccn | $113 | 127% |
| Aetna | $113 | 127% |
| Medadv_Uhc | $113 | 127% |
| Ambetter / Centene | $178 | 200% |
| Wppa_Providrscare | $293 | 330% |
| United | $294 | 331% |
| Cigna | $336 | 378% |
| Coventry | $336 | 378% |
| Hpk | $336 | 378% |
Consumer Guidance & Cost Commentary
For the ankle X-ray procedure (CPT 73610) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's negotiated rates for commercial payers range from $49 to $336, with a median negotiated amount of $113. This commercial rate is significantly higher than the Medicare benchmark of $88.91, reflecting the standard administrative markup and contract dynamics inherent in private insurance pricing. While the facility is a Critical Access Hospital with government local ownership, the data indicates that patients with high-deductible plans might find the cash price of $265 more advantageous than the insurance negotiated rate of $113, provided their specific plan allows for out-of-network cash payments or if the deductible has not been met. It is important to note that while the facility is in-network for most major carriers, the wide variance in allowed amounts across different plans suggests that "in-network" status does not guarantee the lowest possible price for the service.
Patients should proactively contact the hospital before scheduling to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing. Since the facility submits claims automatically for insured patients, signing a waiver of insurance submission at registration is necessary to secure the cash rate and avoid balance billing for the difference between the chargemaster and the insurance allowed amount. Given that over 80% of hospital bills contain errors, consumers are advised to request a full itemized, CPT-coded bill rather than accepting a summary invoice, and to formally dispute any discrepancies in writing to ensure accuracy. By comparing the facility's rates directly to the Medicare benchmark and understanding