X-ray, foot
Facility: Providence Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance - Fka Compresults Worker Compensation | $31 | 35% |
| Oha Networks | $33 | 37% |
| Worker Compensation | $34 | 38% |
| Aetna | $34 - $82 | 38% |
| Medicaid / KanCare | $49 | 55% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Tricare | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Cigna | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Employer Direct Healthcare | $115 | 129% |
| Well Path Prison | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $750 | 844% |
Consumer Guidance & Cost Commentary
For the X-ray, foot procedure (CPT 73630) at Providence Medical Center in Kansas City, KS, the facility's negotiated rates range from $31 to $750 depending on the insurance carrier, with a median negotiated rate of $82. This median is significantly higher than the facility's cash price of $81 and the Medicare benchmark of $88.91. While the facility is a voluntary non-profit acute care hospital, patients should be aware that commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40% compared to direct cash payments. For individuals with high-deductible plans, paying the cash price of $81 upfront may result in lower out-of-pocket costs than the negotiated rates their insurance would allow, which can exceed $100 for some payers like UnitedHealthcare and Celtic.
To minimize costs, patients should proactively request self-pay or prompt-pay discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing expensive claims processing and administrative fees. It is also important to verify the specific allowed amount for your plan, as in-network status does not guarantee the lowest possible price, and some commercial rates can be substantially higher than the Medicare benchmark. If you receive a bill, always demand a full itemized statement to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.