X-ray, foot
Facility: Wesley Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $639
- Cash Discount Price: $2,878
- vs. Medicare Baseline: 7.19x 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 719% of the Medicare baseline (a markup of 619%). 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 |
|---|---|---|
| First Health | $32 - $1,769 | 36% |
| Multiplan | $34 - $3,453 | 38% |
| UnitedHealthcare | $49 | 55% |
| Medicaid / KanCare | $50 | 56% |
| Amerigroup | $51 | 57% |
| Aetna | $51 - $1,370 | 57% |
| Blue Cross Blue Shield | $155 | 174% |
| United | $182 - $1,727 | 205% |
| Health Partners Of Kansas | $332 - $1,918 | 373% |
| Wppa | $334 - $668 | 376% |
| Ambetter / Centene | $345 - $691 | 388% |
| Medical Associates Health Plan | $362 - $725 | 407% |
| Preferred Health Choices | $362 - $725 | 407% |
| Spirit Aerosystems | $614 - $1,228 | 691% |
| Triwest Healthcare Alliance | $1,247 - $2,494 | 1403% |
| Usa Managed Care | $1,630 - $3,261 | 1833% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Wesley Medical Center in Wichita, KS, the cash price is $2,878.00, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting a markup of 7.2 times the Medicare benchmark of $88.91. While the facility offers negotiated rates to various payers, these amounts range widely from $32 to $3,261 depending on the insurance plan. Patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as the negotiated rates for many commercial payers exceed the cash amount. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled in full within a short window.
When using insurance, be aware that the facility's negotiated rates are often inflated by administrative costs and contract structures, sometimes resulting in balance billing if services are rendered out-of-network. Although the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, unexpected charges can still occur for ancillary services. To ensure accuracy, request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. If you receive a bill that seems excessive, dispute it in writing with the billing supervisor rather than accepting the amount immediately, and verify your deductible status to understand your out-of-pocket responsibility before scheduling the procedure.