X-ray, foot
Facility: Stevens County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $197
- Cash Discount Price: $227
- vs. Medicare Baseline: 2.22x 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 222% of the Medicare baseline (a markup of 122%). 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 |
|---|---|---|
| Humana | $84 | 94% |
| Aetna | $86 - $227 | 97% |
| Blue Cross Blue Shield | $128 - $135 | 144% |
| First Health - All Plans | $204 | 229% |
| Wppa - All Plans | $215 | 242% |
| Medicaid / KanCare | $227 | 255% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Stevens County Hospital in Hugoton, Kansas, the cash price is $227.00, which matches the facility's gross charge and the median paid by Medicaid/KanCare. While the facility is a Critical Access Hospital with a government-local ownership structure, the negotiated rates vary significantly by insurer; for example, Aetna plans range from $86 to $227, whereas First Health and WPPA have fixed negotiated rates of $204 and $215, respectively. It is important to note that the cash price of $227.00 is actually higher than the median negotiated rate of $197.00 across all payers, meaning patients with high-deductible plans or those without insurance might find paying cash directly more cost-effective than relying on insurance, provided they can secure the cash-pay classification before services begin.
When evaluating the cost relative to federal standards, the Medicare amount for this procedure is $88.91, and the facility's cash rate represents a 2.2x markup compared to this benchmark. This aligns with the broader healthcare principle that commercial negotiated rates often exceed the true cost baseline established by Medicare, which is calculated using local wage indexes and actual provider cost reports. To ensure you are receiving the most accurate pricing, always request an itemized bill that breaks down the specific CPT code rather than accepting a summary invoice, and inquire directly about prompt-pay discounts or self-pay reductions before scheduling your visit.