X-ray, foot
Facility: Graham County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $142
- Cash Discount Price: $183
- vs. Medicare Baseline: 1.60x 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 |
|---|---|---|
| Medicaid / KanCare | $118 | 133% |
| UnitedHealthcare | $118 - $174 | 133% |
| Blue Cross Blue Shield | $133 | 150% |
| Medicare (plans) | $137 | 154% |
| Celtic Commercial-All Other Plans | $151 | 170% |
| Wppa (Providers Care)-All Plans | $174 | 196% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Graham County Hospital in Hill City, Kansas, the cash price is $183.00, which matches the facility's median negotiated rate of $151.00 and the state average. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans might find paying cash directly more cost-effective than using insurance, as the commercial negotiated rates for payers like UnitedHealthcare and Blue Cross Blue Shield range from $118 to $174, often exceeding the cash price. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract dynamics, with negotiated amounts frequently higher than the true cost of care represented by Medicare benchmarks. In this case, the Medicare allowed amount is $88.91, meaning the cash price of $183.00 is roughly double the federal baseline, which aligns with the typical 200% to 300% markup seen in commercial pricing. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing for the difference between the provider's full charge and the insurance allowed amount; however, the No Surprises Act protects patients from such surprise bills for emergency and non-emergency services at in-network facilities. To avoid errors, patients should always request a detailed