X-ray, foot
Facility: Greenwood County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $140
- Cash Discount Price: $149
- vs. Medicare Baseline: 1.57x 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 |
|---|---|---|
| Triwest - All Plans | $57 - $76 | 64% |
| UnitedHealthcare | $67 - $178 | 75% |
| Tricare | $67 - $89 | 75% |
| Choicecare Mcr Adv - All Plans | $67 - $89 | 75% |
| Integrated Health Plan - All Plans | $120 - $159 | 135% |
| Blue Cross Blue Shield | $127 - $133 | 143% |
| First Health - All Other Plans | $136 - $180 | 153% |
| Beech Street - All Plans | $136 - $180 | 153% |
| First Health Ccn Network | $136 - $180 | 153% |
| Preferred Hs (Coventry) - All Plans | $144 - $191 | 162% |
| Principal Health Care Inc - All Plans | $152 - $201 | 171% |
| Amerigroup Mcaid-All Plans | $160 - $212 | 180% |
| Medicaid / KanCare | $160 - $212 | 180% |
| Providrs Care/Wppa - All Plans | $240 - $318 | 270% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Greenwood County Hospital in Eureka, Kansas, the cash price is $149, which is lower than the facility's gross charge of $186. While the hospital is a government-owned Critical Access Hospital, the negotiated rates for in-network payers range from $57 to $212, with a median negotiated amount of $140. This means that for patients with high-deductible plans or those without insurance, paying the cash price of $149 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost by bypassing administrative processing fees and claims delays.
It is important to understand that commercial insurance rates are often higher than the Medicare benchmark of $88.91 for this procedure, with some in-network plans paying up to $318. This discrepancy highlights the difference between the federal "true cost" baseline and the administrative markups included in commercial contracts. If a patient receives care from an out-of-network provider or encounters unexpected charges, they may face balance billing, where the hospital bills the difference between the full chargemaster and the insurance payment. To avoid surprise bills, patients should request a full itemized CPT-coded bill before paying, as summary invoices can hide unbundled codes or services not rendered. Disputing any errors in writing via certified mail to the billing supervisor is the most effective way to ensure the final invoice accurately reflects only the services provided.