X-ray, foot
Facility: Kiowa County Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $252
- Cash Discount Price: $223
- vs. Medicare Baseline: 2.83x 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 283% of the Medicare baseline (a markup of 183%). 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 - $280 | 152% |
| UnitedHealthcare | $168 - $315 | 189% |
| Health Partners Of Ks-All Plans | $185 - $277 | 208% |
| Humana | $187 - $280 | 210% |
| Aetna | $187 - $280 | 210% |
| Medica Prime Mcare Cost-All Plans | $187 - $280 | 210% |
| Celtic Comml Exchange-All Other Plans | $187 - $280 | 210% |
| Medicaid / KanCare | $210 - $315 | 236% |
| Providrs Care/Wppa-All Plans | $315 - $472 | 354% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash price of $223.00 is notably higher than the state average of $187.00, though it remains below the gross charge of $263.00. While most commercial payers negotiate rates ranging from $135 to $315, the cash price often serves as a useful benchmark for patients with high-deductible plans, as it can be lower than the allowed amount many insurers pay. It is important to note that while the facility is a Critical Access Hospital owned by the local government, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
The facility's negotiated rates vary widely across payers, with the lowest allowed amount being $135 from Blue Cross Blue Shield and the highest at $472 from Providrs Care/Wppa-All Plans. When compared to the Medicare benchmark of $88.91, the cash price represents a markup of approximately 250%, which aligns with typical commercial pricing structures where administrative costs and contract dynamics inflate the baseline price. Patients should be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, but they must carefully review itemized bills to ensure no unbundled codes or services not rendered are included. If a patient receives a surprise bill, they should dispute it in writing rather than paying immediately, as over 80% of hospital bills contain errors that can