X-ray, foot
Facility: Kansas Medical Center Llc
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $76
- Cash Discount Price: $106
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Aetna | $45 | 51% |
| Medicaid / KanCare | $49 | 55% |
| Wppa | $71 | 80% |
| Tricare | $72 | 81% |
| Indian Health | $72 | 81% |
| Ambetter / Centene | $80 | 90% |
| Medadv_Wellcare | $80 | 90% |
| Blue Cross Blue Shield | $80 - $129 | 90% |
| Humana | $80 | 90% |
| United | $84 | 94% |
| Three_Rivers | $160 | 180% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Kansas Medical Center Llc in Andover, the cash price is $106.00, which is lower than the facility's negotiated rates with most commercial payers. While the gross charge listed is $177.00, patients should compare the cash price directly to the Medicare benchmark of $88.91 rather than the inflated list price. In this case, paying cash at $106.00 is actually more cost-effective than the average commercial negotiated rates, which range from $45.00 to $160.00 depending on the insurance plan. This highlights that for patients with high-deductible plans, paying out-of-pocket can sometimes result in a lower total cost than using insurance, especially when the insurer's negotiated rate exceeds the cash price.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to verify your deductible status, as using insurance may lead to higher out-of-pocket expenses if you have not yet met your plan's threshold. Finally, if you receive a bill after the visit, request a full itemized statement to review every code and ensure there are no errors or unbundled charges, as over 80% of hospital bills contain mistakes that can be corrected to lower your debt.