X-ray, foot
Facility: Lane County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $211
- Cash Discount Price: $211
- vs. Medicare Baseline: 2.37x 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 237% of the Medicare baseline (a markup of 137%). 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 |
|---|---|---|
| Aetna | $190 - $201 | 214% |
| UnitedHealthcare | $190 - $211 | 214% |
| Healthy Blue Mcr Adv - All Other Plans | $211 | 237% |
| Healthy Blue Mcaid | $211 | 237% |
| Medicaid / KanCare | $211 - $232 | 237% |
| Wppa Providers-All Plans | $317 | 357% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Lane County Hospital in Dighton, Kansas, the cash price is $211.00, which matches the facility's negotiated rate with UnitedHealthcare and Healthy Blue plans. This cash price is significantly lower than the Medicare benchmark of $88.91, indicating a markup of 239% above the federal baseline. While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, especially if their plan's negotiated rate exceeds the cash charge.
The facility is a Critical Access Hospital owned by a Government Hospital District, and while the data shows a median paid amount of $211.00, patients should verify their specific plan's allowed amount before scheduling. It is important to note that prompt-pay discounts, typically ranging from 20% to 50%, may be available if you pay in full upfront, though these must be requested prior to check-in to avoid automatic claims submission. Since this service is a standard CPT code, balance billing is unlikely for in-network patients, but consumers should always request an itemized bill to ensure no unbundled charges or services not rendered are included in the final invoice.