X-ray, foot
Facility: Kansas Surgery & Recovery Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $81
- Cash Discount Price: $190
- 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 | $42 - $80 | 47% |
| Blue Cross Blue Shield | $80 - $102 | 90% |
| Triwest | $80 | 90% |
| UnitedHealthcare | $81 - $191 | 91% |
| Cigna | $191 | 215% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Kansas Surgery & Recovery Center in Wichita, KS, the cash median price is $190.00, which is slightly lower than the facility's gross charge of $191.00. While the facility is a voluntary non-profit acute care hospital, the negotiated rates vary significantly by insurer, ranging from a low of $42 with Aetna to a high of $191 with Cigna. Notably, the median negotiated rate across all payers is $81.00, which is substantially lower than the cash price. This pricing structure suggests that for patients with high-deductible plans, paying the cash price of $190.00 upfront might be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate, potentially leading to balance billing if the patient's plan does not cover the full negotiated amount.
To ensure you are receiving the best possible rate, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. When reviewing your statement, verify that no charges exist for supplies or tests that were cancelled or never delivered, and insist on a full CPT-coded breakdown rather than accepting a summary bill. Additionally, since the Medicare benchmark for this service is $88.91, you should compare your final out-of-pocket cost against this federal baseline to determine if the facility's pricing is fair. If you choose to pay directly, ask the billing department about prompt-pay discounts, which can reduce the total by 20%