X-ray, foot
Facility: Ashland Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $187
- Cash Discount Price: $150
- vs. Medicare Baseline: 2.10x 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 210% of the Medicare baseline (a markup of 110%). 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 | $63 | 71% |
| Compalliance-All Plans | $150 | 169% |
| Health Partners Of Kansas-All Plans | $159 | 179% |
| Multiplan-All Plans | $183 | 206% |
| Medica Mcare - All Plans | $187 | 210% |
| Health Choice-All Plans | $187 | 210% |
| UnitedHealthcare | $187 | 210% |
| Aetna | $187 | 210% |
| Medicare (plans) | $187 | 210% |
| Healthy Blue Mcr Adv - All Other Plans | $187 | 210% |
| Medicaid / KanCare | $187 | 210% |
| Providers Care (Wppa)-All Plans | $280 | 315% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Ashland Health Center in Ashland, KS, the facility's negotiated rates for in-network payers average $187, which matches the median paid amount. This rate is notably higher than the cash price of $150, meaning patients with high-deductible plans might save money by paying out-of-pocket directly rather than relying on insurance, as the insurance negotiated rate exceeds the cash price. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data does not provide a specific county or state average for comparison, so the $187 rate should be viewed as the standard in-network cost for this specific service.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still important to verify your specific plan details before scheduling. If you choose to pay cash, you may be eligible for a prompt-pay discount, which could further reduce the cost below the $150 cash median. To ensure you receive the most accurate pricing, we recommend contacting the hospital directly to confirm their self-pay or prompt-pay rates before your appointment, as these discounts are often not automatically applied to your account.