X-ray, foot
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $81
- Cash Discount Price: $59
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $7 - $77 | 8% |
| UnitedHealthcare | $7 - $228 | 8% |
| Medicaid / KanCare | $7 - $77 | 8% |
| Providrs Care | $11 - $43 | 12% |
| Tricare | $46 | 52% |
| Humana | $81 - $82 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Va | $81 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $146 - $154 | 164% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Ascension Via Christi Hospital Manhattan, Inc, the facility's cash median price is $59.00, which is significantly lower than the negotiated rates paid by most major payers. While the gross charge is $148.00, commercial insurers like Aetna and UnitedHealthcare negotiate rates ranging from $7 to $228, and Medicare plans pay an average of $81.91. This data highlights that paying cash upfront can be a more cost-effective strategy for patients with high-deductible plans, as the cash price avoids the administrative markup inherent in insurance billing cycles. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing and collection fees.
The facility's pricing structure is anchored by a Medicare benchmark of $88.91, which serves as a reliable baseline for evaluating commercial markups. Although the specific county or state average for this procedure is not provided in the current dataset, the facility's cash rate of $59.00 remains below the Medicare amount, suggesting a competitive pricing model compared to federal standards. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients must still verify their specific plan details to ensure they are not subject to unexpected charges. Finally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any unbundled codes or services not rendered, as