X-ray, foot
Facility: Ellinwood District Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $123
- Cash Discount Price: $149
- vs. Medicare Baseline: 1.38x 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 |
|---|---|---|
| Cigna | $122 | 137% |
| UnitedHealthcare | $122 | 137% |
| Blue Cross Blue Shield | $122 | 137% |
| Humana | $122 | 137% |
| Aetna | $122 | 137% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Ellinwood District Hospital, the facility's negotiated rate is $123, which matches the cash median of $149 and the median paid amount. This specific rate is consistent across all five major payers listed, including Cigna, UnitedHealthcare, and Blue Cross Blue Shield, with no variation between plans. While the facility is a Critical Access Hospital in Kansas, the provided data does not include specific state or county average figures for comparison. However, the negotiated rate of $123 is 40% higher than the Medicare benchmark of $88.91, indicating a markup typical of commercial contracts. Patients should note that while insurance often caps charges at the negotiated rate, paying cash directly can sometimes be more cost-effective if the patient's deductible has not been met, as the cash price ($149) is higher than the negotiated rate in this instance, but the actual out-of-pocket cost depends on their specific plan's deductible status.
To minimize costs, patients should verify if the hospital offers a "prompt-pay" discount for upfront payment, which can reduce the bill by 20% to 50% by bypassing administrative claim processing fees. It is also important to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed in writing. Since the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients can confidently expect the $123 negotiated rate to be the maximum charge covered by their insurance, provided the facility is truly in-network. Always confirm the facility's self