X-ray, foot
Facility: Hamilton County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $122
- Cash Discount Price: $126
- vs. Medicare Baseline: 1.37x 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.
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 - $135 | 71% |
| First Health Coventry - All Plans | $105 - $109 | 118% |
| Cigna | $117 - $122 | 132% |
| UnitedHealthcare | $117 - $122 | 132% |
| Va Ccn - All Plans | $123 - $128 | 138% |
| Aetna | $209 - $218 | 235% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Hamilton County Hospital in Syracuse, KS, the cash price is $126.00, which matches the facility's median negotiated rate of $122.00. This cash price is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 1.4 times the federal rate. While commercial payers like Aetna negotiate rates up to $218, the cash option remains the most affordable path for patients, especially those with high-deductible plans where the insurance allowed amount might exceed the cash price. Patients should verify their specific plan's deductible status and allowed amounts before scheduling, as paying cash upfront can often result in immediate savings compared to the administrative costs embedded in insurance billing.
To maximize potential savings, patients should proactively ask the hospital about self-pay or prompt-pay discounts, which can range from 20% to 50% off the billed amount when paid in full within a short window. These discounts bypass costly insurance claims processing and administrative overhead, providing immediate liquidity to the facility. Additionally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, ensuring no charges for services not rendered or unbundled components are included. While this specific code does not show a direct comparison to state or county averages in the provided data, understanding the difference between the gross charge, Medicare rate, and negotiated rates is essential for making informed financial decisions regarding your care.