X-ray, foot
Facility: Saint Luke'S South Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $455
- Cash Discount Price: $759
- vs. Medicare Baseline: 5.12x 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 512% of the Medicare baseline (a markup of 412%). 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 |
|---|---|---|
| Humana | $27 - $45 | 30% |
| Aetna | $27 - $1,442 | 30% |
| Blue Cross Blue Shield | $31 - $1,140 | 35% |
| Transplants-Case Rates [5750] | $38 - $1,518 | 43% |
| UnitedHealthcare | $42 - $296 | 47% |
| Medicaid / KanCare | $49 - $113 | 55% |
| Cigna | $79 - $1,152 | 89% |
| Commercial-Contracted [8000] | $251 - $1,228 | 282% |
| First Health [5512] | $600 - $900 | 675% |
Consumer Guidance & Cost Commentary
For the CPT code 73630 (X-ray, foot) at Saint Luke's South Hospital in Overland Park, KS, the facility's cash median price is $759.00, which is significantly lower than the state average of $1,265.00. While many commercial payers negotiate rates that exceed this cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount surpasses $759.00. It is important to note that while the facility offers a cash rate, patients should verify their specific plan's deductible status before scheduling, as some in-network contracts may result in higher out-of-pocket costs than the cash price. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final balance by bypassing administrative fees associated with insurance billing.
The facility's negotiated rates vary widely among payers, ranging from $27 to $1,518, with a median negotiated amount of $455.00. This median is notably higher than the cash price of $759.00, illustrating that insurance contracts often include administrative markups that do not reflect the true cost of care. When comparing to the Medicare benchmark of $88.91, the facility's cash rate represents a markup of approximately 8.5 times the Medicare amount, which is consistent with commercial pricing structures where rates average 200% to 300% of Medicare. If a patient receives care from an out-of-network provider at this facility, they could face balance billing for the difference between the provider's full charge