X-ray, foot
Facility: Logan County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $240
- Cash Discount Price: $70
- vs. Medicare Baseline: 2.70x 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 270% of the Medicare baseline (a markup of 170%). 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 | $135 | 152% |
| Humana | $148 | 166% |
| Health Partners - All Plans | $332 | 373% |
| Medicaid / KanCare | $350 | 394% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Logan County Hospital in Oakley, Kansas, the facility's cash median rate is $70.00, which is significantly lower than the state average of $240.00. While this cash price is the lowest option listed, patients with high-deductible plans should consider that paying out-of-pocket might be cheaper than using insurance, as the facility's negotiated rate for Medicaid/KanCare is $350.00, which exceeds the cash price. It is important to note that commercial payers like Blue Cross Blue Shield and Humana have negotiated rates of $135.00 and $148.00 respectively, which are higher than the cash rate but may be covered by insurance after deductibles.
To minimize costs, patients should verify if the hospital offers a "self-pay" or "prompt-pay" discount, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative overhead of insurance claims. If you receive a bill from an out-of-network provider, such as for emergency services or ancillary tests, you may be subject to balance billing for the difference between the provider's full charge and your insurance allowed amount; however, the No Surprises Act protects you from these surprise bills for emergency care and non-emergency services at in-network facilities. Finally, if you receive a summary bill, you should request a detailed, itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.