X-ray, foot
Facility: St. Catherine Hospital - Garden City
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $179
- Cash Discount Price: $259
- vs. Medicare Baseline: 2.01x 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 201% of the Medicare baseline (a markup of 101%). 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 | $22 - $160 | 25% |
| Humana | $22 - $26 | 25% |
| UnitedHealthcare | $22 - $182 | 25% |
| Cigna | $22 - $127 | 25% |
| Medicare (plans) | $22 - $26 | 25% |
| Kansas Health | $22 | 25% |
| Kaiser | $22 - $361 | 25% |
| Aetna | $22 - $240 | 25% |
| Devoted Health | $26 | 29% |
| Innovage | $26 | 29% |
| Direct To Employer | $75 - $524 | 84% |
| Centura Employee Plan | $91 | 102% |
| Peak Health | $99 - $511 | 111% |
| Multiplan | $134 - $1,113 | 151% |
| Wpaa | $154 - $200 | 173% |
| Christian Health Aid | $176 - $229 | 198% |
| United Colorado Doctor'S Plan | $182 | 205% |
| Health Partners Of Kansas | $213 - $277 | 240% |
| Denver Health | $238 - $309 | 268% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at St. Catherine Hospital in Garden City, Kansas, the cash price is $259, which is significantly lower than the facility's gross charge of $647. While many insurance plans negotiate rates ranging from $22 to $1,113 depending on the carrier, the cash price often represents a more predictable cost for patients with high-deductible plans or those without coverage. It is important to note that commercial negotiated rates frequently include administrative overhead and do not reflect the true cost of care; for context, the Medicare benchmark for this service is $88.91, providing a scientifically validated baseline that reveals the markup inherent in commercial pricing structures.
Patients should be aware that while the facility offers a prompt-pay discount for upfront payment, waiting until after receiving an insurance bill may result in losing this opportunity. If you are billed for services rendered by out-of-network providers, such as certain ancillary services, you may be subject to balance billing for the difference between the allowed amount and the full charge, though federal protections like the No Surprises Act may limit these obligations for emergency or non-emergency care at in-network facilities. To ensure you are not overcharged, always request a detailed, itemized bill before paying and verify that all codes correspond to services actually received, as summary bills often obscure individual line items that could be disputed.