X-ray, foot
Facility: Kansas City Orthopaedic Institute
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $75
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Blue Cross Blue Shield | $28 - $248 | 31% |
| Cigna | $54 - $194 | 61% |
| UnitedHealthcare | $81 - $191 | 91% |
| Aetna | $81 | 91% |
| Medica | $201 | 226% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Kansas City Orthopaedic Institute in Leawood, KS, the facility's gross charge is $248.00. While the facility is owned by a physician group, the negotiated rates vary significantly by insurer, ranging from $28 to $248 across five payers. The median negotiated amount is $75.00, which is notably lower than the gross charge but still represents a substantial markup over the Medicare benchmark of $88.91. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans may find paying the cash price directly more cost-effective if the insurance allowed amount exceeds the cash rate.
To minimize unexpected costs, patients should verify their specific plan's allowed amount and inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill. If you receive a bill after insurance processing, request a full itemized audit to ensure no errors, double-billing, or unbundled codes are present, as over 80% of hospital bills contain discrepancies. Additionally, be aware of federal protections under the No Surprises Act, which prohibit balance billing for out-of-network services at in-network facilities, and do not sign away your rights to dispute such bills without reviewing the terms carefully.