X-ray, foot
Facility: Hospital District #6 Patterson Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $158
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| Blue Cross Blue Shield | $127 - $133 | 143% |
| UnitedHealthcare | $158 - $175 | 178% |
| Providers Care (Wppa)-All Plans | $306 | 344% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's negotiated rates for UnitedHealthcare range from $158 to $175, while the cash price is $140. This cash rate is notably lower than the facility's negotiated amount, which may result in higher out-of-pocket costs for patients with high-deductible plans who have not yet met their coverage threshold. Since the facility is a Critical Access Hospital with government ownership, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can sometimes bypass the administrative overhead that inflates insurance negotiated rates.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing structure. While the facility's cash rate of $140 exceeds the Medicare amount, it remains below the negotiated rates paid by major payers like Blue Cross Blue Shield and UnitedHealthcare. Consumers should be aware that commercial insurance contracts often include administrative markups that can push allowed amounts significantly higher than the true cost of care represented by Medicare. To ensure transparency, patients are encouraged to request an itemized bill to verify that no unbundled codes or services not rendered have inflated the final charge, as over 80% of hospital bills contain errors that can be corrected through a formal audit.