X-ray, foot
Facility: Ellsworth County Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $153
- Cash Discount Price: $170
- vs. Medicare Baseline: 1.72x 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 |
|---|---|---|
| Triwest -All Plans | $80 | 90% |
| Va Ccn-All Plans | $80 | 90% |
| Healthy Blue Mcr Adv | $80 | 90% |
| Humana | $80 - $162 | 90% |
| UnitedHealthcare | $110 - $170 | 124% |
| Blue Cross Blue Shield | $127 - $133 | 143% |
| Aetna | $153 | 172% |
| First Health - All Plans | $153 | 172% |
| Cigna | $162 | 182% |
| Healthy Blue Mcaid- All Other Plans | $170 | 191% |
| Medicaid / KanCare | $170 | 191% |
| Coventry Mcaid-All Plans | $170 | 191% |
| Providers Care-Wppa-All Plans | $255 | 287% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Ellsworth County Medical Center in Ellsworth, Kansas, the cash price is $170.00, which matches the facility's negotiated rate with most payers. While the median amount paid by insurance members across 13 plans was $132.00, the cash price remains the same as the gross charge, indicating no significant discount for self-pay. This service is provided by a Critical Access Hospital in a rural area (ZIP 67439), and while the facility holds a 2-star rating, the pricing structure shows that commercial negotiated rates for this specific code range from $80 to $255 depending on the insurer. Patients with high-deductible plans may find paying the full $170.00 upfront more cost-effective than relying on insurance, especially since the cash price is already at the maximum gross charge for many payers.
To ensure you are receiving the best possible rate, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Although the Medicare benchmark for this procedure is $88.91, commercial rates often exceed this baseline due to administrative costs and contract dynamics; however, the cash price here aligns with the gross charge rather than a discounted negotiated rate. If you have insurance, verify your deductible status and ask the billing department about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days. Always confirm whether the facility is in-network for