X-ray, foot
Facility: Mcpherson Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $76
- Cash Discount Price: $59
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Tricare | $7 - $70 | 8% |
| UnitedHealthcare | $7 - $399 | 8% |
| Ambetter / Centene | $8 - $92 | 9% |
| Wellcare Mcr Adv - All Plans | $8 - $80 | 9% |
| Aetna | $8 - $399 | 9% |
| Healthy Blue Mcr Adv | $8 - $80 | 9% |
| Humana | $8 - $80 | 9% |
| Va Ccn - All Plans | $8 - $80 | 9% |
| Blue Cross Blue Shield | $8 - $80 | 9% |
| Multiplan - All Plans | $10 - $359 | 11% |
| Medicaid / KanCare | $27 - $399 | 30% |
| Health Blue Mcaid - All Other Plans | $28 - $407 | 31% |
| Medical Associates - All Plans | $47 - $299 | 53% |
| Central Plains - All Plans | $47 - $299 | 53% |
| Wppa - All Plans | $56 - $279 | 63% |
| Cigna | $60 - $379 | 67% |
| Health Partners - All Plans | $60 - $379 | 67% |
| Christian Health Aid - All Plans | $64 - $319 | 72% |
| First Health - All Plans | $76 - $379 | 85% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at McPherson Hospital in Mcpherson, Kansas, the facility's cash price of $59.00 is lower than the state average of $64.00 and significantly below the Medicare benchmark of $88.91. While many commercial payers negotiate rates ranging from $7 to $407, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. For patients with high-deductible plans, paying the cash rate of $59.00 upfront may be more cost-effective than relying on insurance, which could result in a negotiated charge well above the cash price before deductibles are met.
To minimize costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full within 30 days. Although the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, patients should still request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included. Comparing the facility's pricing to the local county average helps clarify whether the negotiated rates are competitive, but the most reliable baseline for evaluating fair pricing remains the Medicare rate, which reflects the true cost of care delivery without commercial markup.