X-ray, foot
Facility: Salina Regional Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $530
- Cash Discount Price: $412
- vs. Medicare Baseline: 5.96x 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 596% of the Medicare baseline (a markup of 496%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $141 - $148 | 159% |
| Preferred Phsic | $353 | 397% |
| Preferred Healthcare - All Other Plans | $477 | 536% |
| Providers Care (Wppa)-All Plans | $530 | 596% |
| Multiplan (Mpi)-All Plans | $530 | 596% |
| Aetna | $530 | 596% |
| Cigna | $530 | 596% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Salina Regional Health Center in Salina, KS, the facility's cash price of $412.00 is lower than the median negotiated rate of $530.00 paid by most insurers, including Preferred Healthcare and Aetna. While the facility's cash rate is also below the state average of $477.00, patients with high-deductible plans may find paying out-of-pocket initially more cost-effective if their insurance allowed amount exceeds the cash price. It is important to note that while the facility is a voluntary non-profit acute care hospital, the negotiated rates for in-network payers like Blue Cross Blue Shield range from $141 to $148, which is significantly lower than the cash price, suggesting that insurance coverage could result in a lower net cost depending on the specific plan's deductible and copay structure.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary bills often hide unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's chargemaster and your insurance allowed amount, remember that the No Surprises Act generally protects you from these surprise bills for emergency care and non-emergency services at in-network facilities. Additionally, since hospitals often offer prompt-pay discounts of 20% to 50% for upfront payment, you should ask the billing department about self-pay or prompt-pay rates before scheduling your visit to potentially lower your final cost below the cash median.