X-ray, foot
Facility: Cheyenne County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $215
- Cash Discount Price: $192
- vs. Medicare Baseline: 2.42x 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 242% of the Medicare baseline (a markup of 142%). 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 | $133 | 150% |
| First Health - All Plans | $158 | 178% |
| Tricare | $163 | 183% |
| Aetna | $163 - $215 | 183% |
| Healthy Blue Mcr Adv | $163 | 183% |
| UnitedHealthcare | $163 - $226 | 183% |
| Choice Care - All Plans | $164 | 184% |
| Firstguard - All Plans | $181 | 204% |
| Wppa - All Plans | $203 | 228% |
| Cpm - All Plans | $215 | 242% |
| Preferred Hc - All Plans | $215 | 242% |
| Midlands Choice - All Plans | $219 | 246% |
| Ppo Next - All Plans | $221 | 249% |
| Health Partners - All Plans | $221 | 249% |
| Integrated Hp - All Plans | $221 | 249% |
| Unicare - All Plans | $221 | 249% |
| Childrens Mercy - All Plans | $226 | 254% |
| Healthwave Mcaid - All Plans | $226 | 254% |
| Healthy Blue Mcaid - All Other Plans | $226 | 254% |
| Providers Care-All Plans | $339 | 381% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Cheyenne County Hospital in St. Francis, KS, the facility's cash price of $192.00 is lower than the state average of $203.00 and the county average of $215.00. While many commercial payers have negotiated rates ranging from $133 to $339, patients with high-deductible plans may find paying the cash price directly more affordable if their insurance negotiated rate exceeds $192.00. To maximize savings, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The facility's Medicare benchmark rate of $88.91 serves as the objective baseline for evaluating pricing, as commercial rates often average 200% to 300% of this figure. In this case, the cash price of $192.00 represents approximately 216% of the Medicare rate, which aligns with fair pricing standards of 120% to 150% when adjusted for administrative costs and local wage indexes. Patients should be aware that while the facility is a Critical Access Hospital owned by a voluntary non-profit, the final cost depends heavily on whether they utilize insurance or pay out-of-pocket, and they should request an itemized bill to ensure no errors or unbundled charges are included.