X-ray, foot
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $80
- Cash Discount Price: $239
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $78 | 88% |
| Providrs Care Network | $80 | 90% |
| United Mine Workers Of America | $80 | 90% |
| Aetna | $80 - $100 | 90% |
| Blue Cross Blue Shield | $80 | 90% |
| UnitedHealthcare | $80 - $97 | 90% |
| Lantern Specialty Care | $128 | 144% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Kansas Spine & Specialty Hospital, Llc, the cash price is $239.00, which is lower than the facility's gross charge of $368.00. While the facility is a Physician-owned Acute Care Hospital in Wichita, KS, the data does not provide specific county or state average rates for comparison. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than using insurance, especially if the insurance negotiated rate exceeds the cash price. Although the data shows a median negotiated rate of $80.00 for various payers, this figure represents the amount insurers agree to pay, not necessarily what the patient will owe, and commercial rates often include administrative overhead that can inflate the baseline price.
Patients should be aware of balance billing risks, where out-of-network providers may bill the difference between their full chargemaster rate and the insurance allowed amount, though the No Surprises Act protects against this for emergency care and non-emergency services at in-network facilities. Additionally, hospitals often issue summary bills that obscure individual charges, making an itemized audit essential to identify errors, unbundled codes, or services not rendered. To minimize costs, consumers should verify their deductible status before scheduling, as paying out of pocket without meeting the deductible can result in higher out-of-pocket expenses. Finally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the total bill by bypassing costly claims processing and administrative delays.