X-ray, foot
Facility: Rawlins County Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $291
- Cash Discount Price: $285
- vs. Medicare Baseline: 3.27x 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 327% of the Medicare baseline (a markup of 227%). 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 | $135 | 152% |
| UnitedHealthcare | $291 | 327% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Rawlins County Health Center in Atwood, Kansas, the facility's cash median price is $285.00, which is lower than the negotiated rates of $291.00 paid by UnitedHealthcare and $135.00 paid by Blue Cross Blue Shield. While the cash price is slightly below the UnitedHealthcare negotiated rate, it remains significantly higher than the Medicare benchmark of $88.91, indicating a markup of 3.3 times the federal rate. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rate often exceeds the cash amount. To secure the lowest possible cost, individuals should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill.
This service is provided by a Critical Access Hospital, a facility type often subject to specific federal pricing regulations that aim to keep costs reasonable. Although the data does not include explicit county or state average comparisons for this specific procedure, the significant gap between the Medicare rate and the facility's cash price highlights the importance of understanding the true cost baseline. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network emergency services at in-network facilities, it does not automatically guarantee the lowest price for elective or non-emergency procedures. To avoid unexpected charges, patients should request a full itemized bill before payment and verify that no unbundled codes or services not rendered are included in the final invoice.