X-ray, foot
Facility: Kansas Heart Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $144
- Cash Discount Price: $101
- vs. Medicare Baseline: 1.62x 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 |
|---|---|---|
| Wppa - All Plans | $64 | 72% |
| Tricare | $72 | 81% |
| Medicaid / KanCare | $80 - $160 | 90% |
| UnitedHealthcare | $80 - $160 | 90% |
| Celtic Mcr Adv | $80 | 90% |
| Humana | $80 | 90% |
| Blue Cross Blue Shield | $101 - $160 | 114% |
| Multiplan - All Plans | $144 | 162% |
| Aetna | $156 - $160 | 175% |
| Celtic Mcaid - All Other Plans | $160 | 180% |
| Soonerselect Mcaid - All Plans | $160 | 180% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Kansas Heart Hospital in Wichita, KS, the facility's cash price of $101.00 is lower than the state average of $104.00, making it a competitive option for self-pay patients. While the hospital's gross charge is $160.00, commercial insurance negotiated rates vary significantly, ranging from $64 to $160 depending on the payer. For instance, Medicaid/KanCare and UnitedHealthcare have negotiated rates as low as $80, whereas Aetna and Multiplan have rates near the top of the range at $156 and $144, respectively. Because commercial contracts often include administrative overhead that inflates the baseline price, patients with high-deductible plans may find paying the cash price of $101.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not been met.
To maximize savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. It is important to verify the specific negotiated rate for your insurance plan before scheduling, as in-network rates are not uniform across all payers; for example, WPPA and Tricare have fixed rates of $64 and $72, while Blue Cross Blue Shield ranges from $101 to $160. Additionally, if you have out-of-network insurance or receive emergency care, be aware that balance billing could occur, though the No Surprises Act protects you from