X-ray, foot
Facility: Kiowa District Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $250
- Cash Discount Price: $212
- vs. Medicare Baseline: 2.81x 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 281% of the Medicare baseline (a markup of 181%). 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 |
|---|---|---|
| Tricare | $103 | 116% |
| Blue Cross Blue Shield | $133 | 150% |
| Healthchoice-All Plans | $160 | 180% |
| UnitedHealthcare | $212 - $265 | 238% |
| Health Partners Of Ks-All Plans | $233 | 262% |
| Humana | $239 | 269% |
| Gbs Insurance - All Plans | $249 | 280% |
| Multiplan-All Plans | $249 | 280% |
| Triwest-All Plans | $252 | 283% |
| Medicare (plans) | $252 | 283% |
| Aetna | $252 | 283% |
| Medicaid / KanCare | $265 | 298% |
| Providers Care (Wppa)-All Plans | $398 | 448% |
| Liberty Healthshare-All Plans | $428 | 481% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Kiowa District Hospital in Kiowa, Kansas, the facility's cash price is $212, which aligns with the lowest negotiated rate among the 14 payers listed. While the facility is a Critical Access Hospital owned by a government authority, the negotiated rates range from $103 for Tricare up to $428 for Liberty Healthshare, with a median negotiated amount of $250. This median negotiated rate is slightly higher than the cash price, illustrating that paying out-of-pocket can sometimes be more cost-effective for patients with high-deductible plans who have not yet met their insurance coverage thresholds.
To understand the true cost relative to federal standards, the facility's Medicare benchmark rate is $88.91. The gross charge of $265 represents a significant markup compared to this federal baseline, which serves as the objective measure for fair pricing. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is crucial to verify the specific allowed amount for your plan before scheduling. Additionally, since hospitals often offer prompt-pay discounts of 20% to 50% for upfront payment, you should contact the billing department directly to confirm if a self-pay discount is available before your visit to avoid unexpected costs.