X-ray, foot
Facility: Great Plains Of Sabetha
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $198
- Cash Discount Price: $208
- vs. Medicare Baseline: 2.23x 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 223% of the Medicare baseline (a markup of 123%). 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 |
|---|---|---|
| Celtic Mcr Adv | $105 - $112 | 118% |
| Aetna | $106 - $217 | 119% |
| Celtic Comm Exchange-All Other Plans | $131 - $140 | 147% |
| Great West Healthcare-All Plans | $171 - $183 | 192% |
| UnitedHealthcare | $187 - $215 | 210% |
| Century/Wppa/Providers-All Plans | $191 - $204 | 215% |
| Humana | $191 - $204 | 215% |
| Cigna | $191 - $204 | 215% |
| Multiplan-Phcs-All Plans | $191 - $204 | 215% |
| Federated Mutual Ins-All Plans | $193 - $206 | 217% |
| Blue Cross Blue Shield | $201 - $215 | 226% |
| Medicaid / KanCare | $201 - $215 | 226% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Great Plains Of Sabetha in Sabetha, Kansas, the facility's cash price of $208.00 is significantly higher than the state average for this service. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $105 to $217, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that while the facility is a Voluntary non-profit Critical Access Hospital, the cash price of $208.00 is notably higher than the Medicare benchmark of $88.91, which serves as the objective baseline for fair pricing. To potentially lower costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total amount owed.
Patients should be aware that the median negotiated rate across all payers is $198.00, which is still above the cash price, but the variation between payers is wide, with Celtic Mcr Adv offering the lowest range starting at $105. If you are using insurance, it is crucial to verify your specific plan's deductible status, as paying the negotiated rate may not be covered until that threshold is met. Furthermore, if you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized CPT-coded audit rather than accepting a summary bill, as over 80% of hospital bills contain errors. Under federal protections like the No Surprises Act,