X-ray, foot
Facility: Jewell County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $251
- Cash Discount Price: $198
- vs. Medicare Baseline: 2.82x 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 282% of the Medicare baseline (a markup of 182%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $224 | 252% |
| Meritain - All Plans | $238 | 268% |
| Aetna | $238 | 268% |
| Cigna | $251 | 282% |
| Midlands Choice - All Plans | $251 | 282% |
| UnitedHealthcare | $251 | 282% |
| First Health - All Plans | $251 | 282% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Jewell County Hospital in Mankato, KS, the facility's negotiated rates range from $224 to $251, while the cash price is $198. This cash rate is notably lower than the median negotiated amount of $251, meaning patients with high-deductible plans or those without insurance could save money by paying out-of-pocket. Although the facility is a Critical Access Hospital owned by the local government, the cash price of $198 is still higher than the Medicare benchmark of $88.91, which serves as the objective baseline for healthcare costs. When comparing to the broader market, the cash rate of $198 is lower than the state average but higher than the county average, suggesting that while the facility offers a discount compared to commercial insurance rates, it does not match the lowest possible cost for this service.
Patients should be aware that commercial insurance carriers typically pay negotiated rates that are significantly higher than cash prices due to administrative overhead and contract structures. In this case, the median paid amount by insurers is $238, which is higher than the cash price of $198, indicating that paying cash upfront could result in immediate savings. However, patients must verify their specific plan details, as some policies may require meeting a deductible before cash discounts apply. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your visit, as these incentives can further reduce the final amount owed.