X-ray, foot
Facility: Saint John Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance Workers Comp | $31 | 35% |
| Oha Networks | $33 | 37% |
| Worker Compensation | $34 | 38% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $49 - $82 | 55% |
| Blue Cross Blue Shield | $64 - $135 | 72% |
| UnitedHealthcare | $74 - $115 | 83% |
| Healthy Blue | $75 - $86 | 84% |
| Celtic | $75 - $131 | 84% |
| Tricare | $82 | 92% |
| Cigna | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Kansas Superior Select | $84 | 94% |
| Corizon | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Well Path | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
Consumer Guidance & Cost Commentary
For the X-ray, foot procedure (CPT 73630) at Saint John Hospital in Leavenworth, KS, the negotiated rates across 19 payers range from $31 to $135, with a median negotiated amount of $82. This commercial rate is significantly higher than the Medicare benchmark of $88.91, which serves as the federal baseline for "true cost." While the facility's cash price of $81 is slightly lower than the Medicare rate, patients with high-deductible plans should consider paying cash upfront, as the insurance negotiated rate often exceeds the cash price. To secure the lowest possible cost, patients should verify their specific plan's allowed amount before scheduling and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full within 30 days.
The data indicates that the facility's pricing structure aligns closely with regional standards, as the lowest negotiated rates ($31–$34) are comparable to the state average for this service. However, patients must be aware that in-network status does not guarantee the lowest price, as different insurers have negotiated different maximum rates for the same code. If a patient receives a bill that exceeds the cash price or the Medicare benchmark, they should request an itemized billing audit to identify potential errors, such as unbundled codes or services not rendered, before making a payment. It is also important to note that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, patients should still review their specific contract terms and avoid signing waivers that could inadvertently waive these protections