X-ray, foot
Facility: Labette Health
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $75
- Cash Discount Price: $126
- 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 |
|---|---|---|
| Montgomery County | $14 - $149 | 16% |
| Uhccp | $17 - $27 | 19% |
| Aetna | $29 | 33% |
| Kansas Superior Select | $31 - $84 | 35% |
| Medicaid / KanCare | $49 - $143 | 55% |
| Healthy Blue | $50 - $75 | 56% |
| Multiplan | $75 - $269 | 84% |
| Ambetter / Centene | $79 - $94 | 89% |
| Humana | $81 | 91% |
| UnitedHealthcare | $81 - $276 | 91% |
| Blue Cross Blue Shield | $81 - $135 | 91% |
| Wellcare | $81 | 91% |
| Choicecare (First Health Network) | $285 | 321% |
| Health Partners Of Kansas, Inc | $285 | 321% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Labette Health in Parsons, KS, the cash price of $126.00 is lower than the facility's gross charge of $180.00, but it remains higher than the state average for this service. While the facility offers a negotiated rate of $75.00 to insurance payers, patients with high-deductible plans might find the cash price more affordable if their insurance allows a higher negotiated rate than the cash amount. It is important to note that commercial negotiated rates often include administrative overhead and can exceed cash prices, so patients should verify their specific plan's allowed amount before scheduling. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the costly insurance claims process.
If you choose to use insurance, be aware that out-of-network services within the facility could potentially trigger balance billing, though the No Surprises Act protects emergency and non-emergency services at in-network facilities from such surprise charges. Before paying any bill, request a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. To ensure you are receiving fair value, compare the facility's rates against the Medicare benchmark of $88.91; since commercial rates often average 200% to 300% of Medicare, a negotiated rate of $75.00 represents a significant discount compared to typical commercial markups, while the cash price sits comfortably below the gross charge