X-ray, foot
Facility: Wamego Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $45
- Cash Discount Price: $165
- vs. Medicare Baseline: 0.51x 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 |
|---|---|---|
| UnitedHealthcare | $7 - $74 | 8% |
| Medicaid / KanCare | $7 - $77 | 8% |
| Aetna | $7 - $77 | 8% |
| Providrs Care | $11 - $43 | 12% |
| Tricare | $46 | 52% |
| Blue Cross Blue Shield | $177 - $186 | 199% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Wamego Health Center, the cash price is $165.00, which is significantly lower than the facility's gross charge of $413.00. While Medicaid/KanCare and Aetna have negotiated rates ranging from $7 to $77, these amounts are still higher than the cash price. This is a common scenario where paying out-of-pocket can be the most cost-effective option, especially for patients with high deductibles or those who do not have insurance coverage. To secure the lowest possible rate, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the facility's full list price. The Medicare amount for this procedure is $88.91, and the facility's negotiated rate of $45.00 is well below the typical commercial markup of 200% to 300% often seen in the healthcare system. If you have insurance, remember that in-network rates are contractually capped to protect you from balance billing, but if you choose to pay cash, you must ensure you are not inadvertently signing away rights to dispute out-of-network charges. Always request an itemized bill before paying to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.