X-ray, foot
Facility: Wilson Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $214
- Cash Discount Price: $200
- vs. Medicare Baseline: 2.41x 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 241% of the Medicare baseline (a markup of 141%). 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 | $133 - $267 | 150% |
| Aetna | $142 - $267 | 160% |
| Tricare | $142 | 160% |
| Ambetter / Centene | $142 - $267 | 160% |
| UnitedHealthcare | $142 - $248 | 160% |
| Humana | $142 | 160% |
| Cigna | $214 | 241% |
| Mulitplan-All Plans | $246 | 277% |
| Health Partners-All Plans | $246 | 277% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Wilson Medical Center in Neodesha, KS, the cash median price is $200, which is lower than the facility's negotiated rates of $214 and the gross charge of $267. While the facility is a Critical Access Hospital with government local ownership, patients should note that commercial insurance plans like Blue Cross Blue Shield and Aetna have negotiated rates ranging from $142 to $267, meaning the cash price may be the most affordable option for those with high-deductible plans or those who have met their out-of-pocket limits. To ensure you are receiving the best possible rate, it is advisable to ask the billing department specifically about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the cost compared to standard insurance processing.
When reviewing your final invoice, always request a detailed itemized bill rather than accepting a summary statement, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered that can be disputed. This X-ray service has a Medicare benchmark of $88.91, and the facility's negotiated average of $214 represents a significant markup relative to this federal baseline; understanding this difference helps clarify that commercial rates often include administrative overhead and contract dynamics that go beyond the true cost of care. If you receive a large bill after using insurance, do not pay immediately; instead, verify that the charges align with the allowed amount and utilize the No Surprises Act protections if any out-of-network providers were involved in your care.