X-ray, foot
Facility: Wichita County Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $373
- Cash Discount Price: $327
- vs. Medicare Baseline: 4.20x 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 420% of the Medicare baseline (a markup of 320%). 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 |
|---|---|---|
| Medicaid / KanCare | $337 | 379% |
| UnitedHealthcare | $409 | 460% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $327 is lower than the state average of $337, making it a cost-effective option for patients paying out-of-pocket. While Medicaid/KanCare members are billed $337 and UnitedHealthcare members $409, the cash rate of $327 is notably lower than the facility's median negotiated rate of $373. This price difference highlights that cash-pay can sometimes be cheaper than insurance for patients with high-deductible plans, provided they qualify for the self-pay or prompt-pay discount. Patients should explicitly ask the hospital to classify the service as self-pay before check-in to ensure they receive the lowest possible rate and avoid automatic claims submission that would void any cash discount.
The facility's gross charge of $409 is significantly higher than the Medicare benchmark of $88.91, illustrating how commercial rates often include administrative markups that exceed the true cost of care. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still wise to request an itemized billing audit to verify that no unbundled codes or services not rendered are included in the final statement. Given that over 80% of hospital bills contain errors, reviewing the line-by-line charges can help identify double-billing or unnecessary fees before payment. By comparing the facility's rates directly to the Medicare baseline and understanding the difference between the chargemaster list and the actual cash price, patients can make informed decisions about their healthcare spending.