X-ray, foot
Facility: Medicine Lodge Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $240
- Cash Discount Price: $253
- 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 |
|---|---|---|
| Tricare | $202 | 227% |
| Humana | $230 | 259% |
| Aetna | $234 - $253 | 263% |
| Hpk-All Plans | $240 | 270% |
| UnitedHealthcare | $240 | 270% |
| Medicaid / KanCare | $253 | 285% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Medicine Lodge Memorial Hospital in Medicine Lodge, Kansas, the cash price is $253.00, which matches the facility's negotiated rate for Medicaid/KanCare and the gross charge. This cash price is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 2.7 times the federal rate. While commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $234 to $253, these amounts remain well above the Medicare baseline. Patients with high-deductible plans or those without insurance may find the cash price of $253.00 more affordable than their insurance negotiated rates, provided they can secure a self-pay or prompt-pay discount before scheduling.
To ensure you are receiving the best possible rate, it is critical to request an itemized bill before paying, as summary bills often obscure individual charges and potential errors. If you receive a bill, verify that no services were unbundled or that charges exist for items not rendered, as over 80% of hospital bills contain such errors. Additionally, since this facility is a Critical Access Hospital owned by a Government Hospital District, you should explicitly ask about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront. Always confirm your specific plan's deductible status and allowed amount with the hospital's billing department prior to the procedure to avoid unexpected out-of-pocket expenses.