X-ray, foot
Facility: Stanton County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $309
- Cash Discount Price: $326
- vs. Medicare Baseline: 3.48x 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 348% of the Medicare baseline (a markup of 248%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $128 - $309 | 144% |
| Healthy Blue Mcr Adv - All Other Plans | $319 | 359% |
| Healthy Blue Mcaid | $326 | 367% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Stanton County Hospital in Johnson, KS, the cash price is $326.00, which matches the facility's median negotiated rate and the cash median for this procedure. While the facility is a Critical Access Hospital with government-local ownership, the data does not provide specific county or state average figures for comparison. It is important to note that for patients with high-deductible plans, paying the cash price of $326.00 directly can sometimes be more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead. Patients should always ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final bill.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing markup. The commercial negotiated rate of $309.00 represents a significant increase over the Medicare amount, reflecting the costs of claims processing and contract management inherent in the insurance billing cycle. Although the data indicates a "vs_medicare" metric of 3.5, this figure likely refers to a specific ratio or variance point rather than a direct dollar difference, and patients should compare all rates against the Medicare amount of $88.91 to understand the true cost structure. If a patient receives an itemized bill later, they should request a full line-by-line audit to ensure no errors, double-billing, or unbundled codes are present, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes.