X-ray, ankle
Facility: Bob Wilson Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $216
- Cash Discount Price: $96
- vs. Medicare Baseline: 2.43x 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 243% of the Medicare baseline (a markup of 143%). 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 |
|---|---|---|
| UnitedHealthcare | $77 - $260 | 87% |
| Humana | $77 - $100 | 87% |
| Medicare (plans) | $77 - $100 | 87% |
| Kansas Health | $77 - $100 | 87% |
| Aetna | $77 - $250 | 87% |
| Centura Employee Plan | $91 | 102% |
| Blue Cross Blue Shield | $186 | 209% |
| Multiplan | $216 - $290 | 243% |
| Health Partners Of Kansas | $226 - $293 | 254% |
| Wppa | $228 - $297 | 256% |
Consumer Guidance & Cost Commentary
For the CPT code 73610 (X-ray, ankle) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $96.00, which is significantly lower than the state average of $210.00. While many commercial payers negotiate rates ranging from $77 to $297, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. Because commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures, paying out-of-pocket can result in substantial savings. Patients should verify if their specific plan has a deductible that would otherwise force them to pay the higher negotiated amount, as paying the cash rate upfront may be more cost-effective in these scenarios.
To ensure you receive the best possible rate, it is crucial to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these can further reduce the final cost. If you are covered by insurance, be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur for out-of-network ancillary services like emergency physicians or labs. Additionally, if you receive a bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Comparing your facility's charges to the Medicare benchmark of $88.91 provides an objective baseline, revealing that while the facility's gross charge is $240.00, the true cost baseline is established by federal rates