X-ray, foot
Facility: Overland Park Reg Med Ctr
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $565
- Cash Discount Price: $1,994
- vs. Medicare Baseline: 6.35x 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 635% of the Medicare baseline (a markup of 535%). 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 |
|---|---|---|
| Multiplan | $27 - $2,092 | 30% |
| Corvel Corporation | $32 - $1,837 | 36% |
| Aetna | $34 - $1,442 | 38% |
| Oha Network | $34 - $1,413 | 38% |
| Blue Cross Blue Shield | $42 - $1,215 | 47% |
| Humana | $42 - $55 | 47% |
| Amerigroup | $49 | 55% |
| United | $49 - $1,272 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $150 | 114% |
| Ambetter / Centene | $240 - $526 | 270% |
| Nhc Advantage | $245 - $537 | 276% |
| Wppa Providrs Care Network | $258 - $565 | 290% |
| Universal Healthcare | $451 - $989 | 507% |
| Coventry | $518 - $1,136 | 583% |
| Coventry Kc Mo | $528 - $1,159 | 594% |
| College Park Family Care Center | $554 - $1,215 | 623% |
| Triwest Health Alliance | $966 - $2,120 | 1086% |
| Focus Healthcare Mgmt, Inc | $966 - $2,120 | 1086% |
| Cco, Inc. | $966 - $2,120 | 1086% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Overland Park Reg Med Ctr, the cash price is $1,994.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 6.4 times the federal baseline. While the facility offers negotiated rates to various payers, these amounts range widely, with the lowest negotiated rate being $27 and the highest reaching $2,120 across different insurance plans. Because commercial negotiated rates often include administrative overhead and contract premiums, they can sometimes exceed the cash price; for patients with high-deductible plans, paying the cash rate of $1,994.00 upfront may result in lower out-of-pocket costs compared to insurance claims that exceed the deductible.
Patients should verify their specific insurance coverage before scheduling, as in-network status does not guarantee the lowest possible price, with negotiated rates varying by carrier and plan tier. It is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full before or shortly after the service. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement to review every charge and dispute any unbundled codes or services not rendered. By comparing the facility's pricing against the Medicare benchmark and seeking prompt-pay incentives, patients can avoid unexpected costs and ensure they are receiving fair value for their care.