X-ray, ankle
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $81
- Cash Discount Price: $162
- vs. Medicare Baseline: 0.91x 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 | $7 - $77 | 8% |
| UnitedHealthcare | $7 - $228 | 8% |
| Aetna | $7 - $77 | 8% |
| Providrs Care | $11 - $46 | 12% |
| Tricare | $46 | 52% |
| Humana | $81 - $82 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Va | $81 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $151 - $159 | 170% |
Consumer Guidance & Cost Commentary
For the X-ray, ankle procedure (CPT 73610), Ascension Via Christi Hospital Manhattan, Inc. lists a cash price of $162.00, which is significantly lower than the facility's gross charge of $404.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $7 to $228, the cash price remains the lowest option available in this dataset. This pricing structure highlights a common billing dynamic where paying out-of-pocket can be more cost-effective than relying on insurance, particularly for patients with high deductibles or those who may face balance billing if their specific plan does not fully cover the service. The facility is located in Manhattan, Kansas (ZIP 66502), and while specific county or state average comparisons are not provided in this report, the substantial difference between the cash rate and the gross charge demonstrates the potential for significant savings when negotiating directly with the hospital.
Patients should be aware that commercial insurance contracts often result in negotiated rates that exceed cash prices due to administrative overhead and multi-layered billing structures. For instance, Medicare allows a payment of $88.91, which serves as a benchmark for the true cost of care, while the facility's median negotiated rate across all payers is $81.00. It is important to note that even though many insurers have negotiated rates for this service, the cash price of $162.00 is higher than the Medicare benchmark, suggesting that for some patients, the most economical path may involve paying cash directly. To maximize savings, patients are encouraged to contact the hospital's billing department before scheduling to inquire about "self-pay