X-ray, foot
Facility: Pratt Regional Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $75
- Cash Discount Price: $57
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Christian Health Aid | $19 - $323 | 21% |
| UnitedHealthcare | $21 - $439 | 24% |
| Health Partners Of Kansas | $21 - $366 | 24% |
| Aetna | $23 - $387 | 26% |
| Choicecare | $25 - $430 | 28% |
| Celtic Insurance Company | $84 | 94% |
| Healthy Blue | $87 | 98% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Pratt Regional Medical Center in Pratt, KS, the cash price of $57.00 is notably lower than the facility's gross charge of $81.00 and significantly below the Medicare benchmark of $88.91. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $21 to $439, the cash price offers a distinct advantage for patients with high-deductible plans or those without insurance, as it avoids the administrative markup often found in commercial contracts. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final amount owed compared to standard billing cycles.
It is important to understand that commercial insurance rates are not always the lowest option available; in this case, the negotiated rates for some payers exceed the cash price, meaning using insurance could result in higher out-of-pocket costs if the patient's deductible has not been met. Furthermore, patients should be aware of balance billing risks if they receive care from out-of-network providers, though the No Surprises Act protects against such unexpected charges for emergency services at in-network facilities. If a bill is received, consumers should demand a full itemized statement to verify that no unbundled codes or services not rendered have inflated the total, ensuring the final charge aligns with the transparent data provided.