X-ray, foot
Facility: Stafford County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $226
- Cash Discount Price: $231
- vs. Medicare Baseline: 2.54x 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 254% of the Medicare baseline (a markup of 154%). 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 |
|---|---|---|
| Health Partners-All Plans | $215 - $223 | 242% |
| UnitedHealthcare | $226 - $235 | 254% |
| Va Ccn-All Plans | $226 - $235 | 254% |
| Medica Mcr- All Plans | $226 - $235 | 254% |
| Humana | $226 - $235 | 254% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Stafford County Hospital in Stafford, KS, the cash price is $231.00, which matches the facility's median negotiated rate of $226.00 and the median paid amount. This cash price is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 2.5 times the federal rate. While commercial payers like Health Partners, UnitedHealthcare, and Humana negotiate rates ranging from $215 to $235, these amounts remain well above the Medicare baseline. Because the cash price is already lower than the typical commercial negotiated rates seen in this region, patients with high-deductible plans may find paying out-of-pocket directly to the hospital the most cost-effective option, provided they verify the specific "self-pay" or "prompt-pay" discounts available before scheduling.
It is important to note that this facility is a Critical Access Hospital owned by the local government, and the reported rates are based on the 2026-06 vintage data. Although the data does not include explicit county or state average comparisons for this specific code, the substantial difference between the cash price and the Medicare rate highlights the importance of comparing all rates against the federal benchmark rather than the hospital's gross chargemaster. To ensure you are receiving the best possible price, we recommend requesting a formal itemized billing audit to confirm there are no unbundled codes or services not rendered, and asking the billing department to classify your visit as self-pay to avoid automatic claims submission that could void any potential cash discounts.