X-ray, ankle
Facility: Amberwell Atchison Association
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $389
- Cash Discount Price: $760
- vs. Medicare Baseline: 4.38x 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 438% of the Medicare baseline (a markup of 338%). 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% |
| Superior Select Mcr Adv - All Plans | $251 | 282% |
| Humana | $251 - $342 | 282% |
| Va Ccn - All Plans | $251 | 282% |
| UnitedHealthcare | $251 - $1,364 | 282% |
| Triwest - All Plans | $251 | 282% |
| Ambetter / Centene | $389 | 438% |
| Aetna | $418 | 470% |
| Cigna | $418 | 470% |
| Centrus Health Direct - All Plans | $570 | 641% |
| Oscar - All Plans | $570 | 641% |
| Multiplan - All Plans | $593 | 667% |
| Wppa Providrs Care - All Plans | $684 | 769% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610) at Amberwell Atchison Association, the cash price is $760.00, which matches the facility's cash median. This rate is significantly higher than the state average for this service, as indicated by the Medicare benchmarking data showing a 4.4x markup relative to the federal baseline. While commercial insurance plans like Blue Cross Blue Shield and Humana negotiate rates ranging from $132 to $1,364, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $760.00 cash rate directly, as this bypasses the administrative overhead and potential higher negotiated fees charged by insurers.
To minimize costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also critical to request a full itemized billing audit rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a patient receives a balance bill from an out-of-network provider, they may be entitled to protections under the No Surprises Act, which prohibits surprise billing for emergency care and non-emergency services at in-network facilities. Always verify your specific plan's deductible status and network tiering to ensure you are not paying the full negotiated rate when a lower cash option is available.