CMS Price Transparency Data

X-ray, ankle

Facility: Saint Luke's East Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $525
Cash Discount Price: $875
vs. Medicare Baseline: 5.90x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Saint Luke's East Hospital is $525. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $875. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.90x the Medicare baseline. Located in 100 N E Saint Luke's Boulevard, Lees Summit, MO.

Cash / Self-Pay

$875

Average discount available for prompt cash payment at this facility.

Insurance Median

$525

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $875 (984%)

Insurance Median: $525 (590%)

Cash: $875 (984% of Medicare)

Ins. Median: $525 (590% of 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 590% of the Medicare baseline (a markup of 490%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$29 - $1,663	33%
Humana	$30 - $48	34%
Blue Cross Blue Shield	$33 - $1,315	37%
Transplants-Case Rates [5750]	$41 - $1,751	46%
UnitedHealthcare	$42 - $296	47%
Medicaid / KanCare	$49 - $84	55%
Cigna	$85 - $1,329	96%
Commercial-Contracted [8000]	$251 - $1,417	282%
First Health [5512]	$692 - $1,038	778%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $875.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Luke's East Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.