X-ray, foot
Facility: Menorah Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $1,067
- Cash Discount Price: $4,205
- vs. Medicare Baseline: 12.00x 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 1200% of the Medicare baseline (a markup of 1100%). 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 - $4,154 | 30% |
| Corvel Corporation | $32 - $3,649 | 36% |
| Aetna | $34 - $2,863 | 38% |
| Oha Network | $34 - $2,807 | 38% |
| Humana | $42 - $55 | 47% |
| Blue Cross Blue Shield | $42 - $2,526 | 47% |
| United | $49 - $2,526 | 55% |
| Amerigroup | $49 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $4,491 | 114% |
| Ambetter / Centene | $520 - $1,044 | 585% |
| Nhc Advantage | $532 - $1,067 | 598% |
| Wppa Providrs Care Network | $560 - $1,123 | 630% |
| Universal Healthcare | $979 - $1,965 | 1101% |
| Coventry | $1,125 - $2,257 | 1265% |
| Coventry Kc Mo | $1,147 - $2,301 | 1290% |
| College Park Family Care Center | $1,203 - $2,414 | 1353% |
| Cco, Inc. | $2,098 - $4,210 | 2360% |
| Triwest Health Alliance | $2,098 - $4,210 | 2360% |
| Focus Healthcare Mgmt, Inc | $2,098 - $4,210 | 2360% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Menorah Medical Center in Overland Park, KS, the cash price is $4,205.00, which matches the facility's median paid amount. This cash rate is 12% higher than the Medicare benchmark of $88.91, reflecting the standard markup for commercial services. While many payers have negotiated rates ranging from $27 to $4,210, the cash price can be a more economical option for patients with high-deductible plans or those without insurance, as it avoids the administrative costs and potential underpayments often found in negotiated contracts. Patients should verify their specific plan's deductible status and ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
The facility's pricing structure varies significantly across its 23 payer contracts, with negotiated amounts for this procedure spanning a wide range from $27 for Multiplan to $4,210 for several large networks like Cco, Inc. and Triwest Health Alliance. Because commercial negotiated rates often include administrative overhead and do not always reflect the true cost of care, it is advisable to compare these figures against the Medicare benchmark rather than the hospital's gross chargemaster. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, though federal protections like the No Surprises Act may apply to emergency services. To ensure accuracy, always request a detailed, itemized bill before making any payments to identify potential errors or unbundled codes that could