X-ray, foot
Facility: Phillips County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $245
- Cash Discount Price: $231
- vs. Medicare Baseline: 2.76x 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 276% of the Medicare baseline (a markup of 176%). 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 | $135 - $220 | 152% |
| UnitedHealthcare | $217 - $271 | 244% |
| Health Partners-All Plans | $271 | 305% |
| Medicaid / KanCare | $271 | 305% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Phillips County Hospital in Phillipsburg, Kansas, the facility's negotiated rates range from $135 to $271 depending on your specific insurance plan. While the cash price is $231, which is lower than the highest negotiated rates, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allows the full negotiated amount. It is important to note that commercial insurance rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments. To ensure you are receiving the best possible rate, you should verify your specific plan's allowed amount before scheduling and ask the hospital about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid upfront.
This service is priced significantly higher than the state average, with the facility's gross charge of $271 representing a 280% markup over the Medicare benchmark rate of $88.91. While Medicare rates serve as the objective baseline for "true cost," commercial rates often average 200% to 300% of this figure due to multi-layered billing structures. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under federal law, though unexpected charges can still occur if ancillary services like lab work are out-of-network. If you receive a bill, request a full itemized statement to identify any errors or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a