X-ray, ankle
Facility: Golden Valley Memorial Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $88
- Cash Discount Price: $228
- vs. Medicare Baseline: 0.99x 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 |
|---|---|---|
| Home State Health | $81 | 91% |
| UnitedHealthcare | $81 - $150 | 91% |
| Aetna | $88 | 99% |
| Humana | $88 | 99% |
| Ambetter / Centene | $106 | 119% |
Consumer Guidance & Cost Commentary
For this X-ray, ankle procedure, Golden Valley Memorial Hospital in Clinton, MO charges a cash median of $228, which is lower than the facility's gross rate of $380. The hospital's negotiated rates range from $81 to $150 across five payers, with UnitedHealthcare offering a high of $150 and a low of $81, while Home State Health, Aetna, and Humana have fixed negotiated rates of $81. The Medicare amount for this service is $88.91. Because the cash price is $228 and the lowest negotiated rate is $81, patients with high-deductible plans or those without insurance may save money by paying cash directly, provided they confirm the facility's self-pay or prompt-pay discounts before scheduling.
This facility is an acute care hospital owned by a Government - Hospital District or Authority, and it holds a rating of 3 stars. The procedure code is 73610, and the data reflects the 2026-06 vintage. While the data does not provide explicit county or state average comparisons, the facility's ownership structure and rating are included for context. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services from out-of-network providers at in-network facilities under the No Surprises Act. If a patient receives an unexpected bill, they should dispute it in writing with the insurer rather than paying immediately, and they should request a full itemized CPT-coded bill to ensure no unbundled codes or services not rendered are included.