X-ray, foot
Facility: Trego County Lemke Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $184
- Cash Discount Price: $191
- vs. Medicare Baseline: 2.07x 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 207% of the Medicare baseline (a markup of 107%). 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 |
|---|---|---|
| Humana | $110 | 124% |
| Tricare | $119 | 134% |
| Medicaid / KanCare | $140 - $225 | 157% |
| UnitedHealthcare | $140 - $225 | 157% |
| Va Ccn - All Plans | $140 | 157% |
| Aetna | $140 - $202 | 157% |
| Ambetter / Centene | $153 | 172% |
| Blue Cross Blue Shield | $184 | 207% |
| Health Partners - All Plans | $214 | 241% |
| Healthy Blue Mcaid - All Plans | $225 | 253% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Trego County Lemke Memorial Hospital, the cash price is $191.00, which is lower than the facility's gross charge of $225.00. While the hospital's negotiated rates with insurance payers range from $110 to $225, the cash price of $191.00 is notably higher than the state of Kansas average for this service, which is $140.00. This suggests that paying out-of-pocket may not be the most cost-effective option for patients with high-deductible plans, as the insurance negotiated rates often exceed the cash price. However, patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated amount without meeting the deductible could result in higher out-of-pocket costs than expected.
To ensure you receive the most accurate billing, it is recommended to request an itemized bill before finalizing payment, as summary bills can obscure individual charges and potential errors. Since over 80% of hospital bills contain mistakes, such as unbundled codes or services not rendered, a line-by-line review is the most effective way to reduce medical debt. Additionally, if you are concerned about balance billing, remember that the No Surprises Act protects patients from being billed for out-of-network emergency services or non-emergency services at in-network facilities. If you do receive a surprise bill, you should dispute it in writing with the insurer rather than paying immediately, and you should never sign away your rights to dispute out-of-network costs without fully understanding the terms.