X-ray, foot
Facility: Grisell Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $199
- Cash Discount Price: $217
- vs. Medicare Baseline: 2.24x 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 224% of the Medicare baseline (a markup of 124%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $127 | 143% |
| UnitedHealthcare | $170 - $228 | 191% |
| Medicaid / KanCare | $228 | 256% |
| Humana | $228 | 256% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Grisell Memorial Hospital in Ransom, Kansas, the facility's negotiated rates range from $127 to $228 depending on the insurance plan, with a median paid amount of $228. This aligns exactly with the gross charge and the Medicare benchmark of $88.91, resulting in a markup of 2.2 times the Medicare rate. While the facility is a Critical Access Hospital owned by a Government Hospital District, the negotiated rates for in-network payers like Blue Cross Blue Shield and UnitedHealthcare are consistent with the facility's standard billing structure. Patients should note that the cash median price is $217, which is slightly lower than the typical insurance negotiated rate; this suggests that for individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly might result in lower total costs compared to using insurance coverage.
To maximize savings, consumers should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront payment incentives can bypass the administrative overhead associated with insurance claims processing. It is important to verify the specific allowed amount for your insurance plan, as assuming that being in-network guarantees the lowest possible price can lead to confusion, as different carriers negotiate different rates. Additionally, since the facility is a Critical Access Hospital, the No Surprises Act provides federal protection against balance billing for out-of-network services at this location, though patients should still request a full itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.