X-ray, foot
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $197
- Cash Discount Price: $98
- vs. Medicare Baseline: 2.22x 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 222% of the Medicare baseline (a markup of 122%). 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 |
|---|---|---|
| UnitedHealthcare | $81 | 91% |
| Ku Athletics [503200094] | $81 | 91% |
| Workers Comp [503999901] | $81 | 91% |
| Medicare (plans) | $83 | 93% |
| Blue Cross Blue Shield | $84 | 94% |
| Allwell [503200078] | $84 | 94% |
| Triwest [503201703] | $86 | 97% |
| Humana | $86 | 97% |
| Tricare | $86 | 97% |
| Hchsync Centrus Health Direct [503999916] | $98 - $230 | 110% |
| Centurion [5032000966] | $106 | 119% |
| Ambetter / Centene | $118 | 133% |
| Alt Wppa [5032000964] | $138 - $276 | 155% |
| Meritain Health [503200039] | $138 - $394 | 155% |
| Wppa [503200056] | $138 - $276 | 155% |
| Alt Carelon Behavioral Health [503200905] | $164 - $328 | 184% |
| Fort Hays State Student Athletes [5032000960] | $171 | 192% |
| Occunet [503999930] | $171 | 192% |
| Php [503200005] | $197 - $394 | 222% |
| First Health [5032000110] | $197 - $394 | 222% |
| Cigna | $197 - $525 | 222% |
| Allied National [503999937] | $197 - $394 | 222% |
| Alt Meritain Health [503999911] | $197 - $394 | 222% |
| Aetna | $197 - $394 | 222% |
| National Assn Letter Carriers [503200019] | $197 - $394 | 222% |
| Aha-Healthcare Preferred [503200050] | $197 - $394 | 222% |
| 6 Degrees Health [503999050] | $203 | 228% |
| Correct Care Solutions [50311253] | $230 - $459 | 259% |
| Advanced Medical Pricing Solutions [503301513] | $257 | 289% |
| Usa Managed Care [503999030] | $295 - $590 | 332% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at the University of KS Health System Great Bend Campus, the cash price is $98.00, which is significantly lower than the median negotiated rate of $197.00 paid by most insurance plans. While the facility's cash rate is well below the state average for this procedure, patients with high-deductible plans may find that paying cash upfront is the most cost-effective option, as many commercial payers negotiate rates that exceed the cash price. To secure the lowest possible cost, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed before insurance billing cycles begin.
It is important to understand that commercial insurance rates often include administrative overhead and do not represent the true cost of care, which is better reflected by the Medicare benchmark of $88.91. Although the facility is a government-owned acute care hospital, the negotiated rates for out-of-network or non-preferred plans can vary widely, with some payers ranging from $81 to $590. If you receive a bill that appears higher than expected, you should request a detailed, itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Furthermore, under the No Surprises Act, you are protected from balance billing for emergency care or non-emergency services at in-network facilities, so any unexpected charges should be disputed immediately with the insurer rather than paid in full.