X-ray, foot
Facility: St Luke Hospital & Living Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $175
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.97x 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 |
|---|---|---|
| Humana | $175 | 197% |
| Blue Cross Blue Shield | $175 | 197% |
| Kansas Department Of Health And Environment | $175 | 197% |
| UnitedHealthcare | $175 | 197% |
| Bluestem Pace | $175 | 197% |
| Va Ccn | $175 | 197% |
| Ambetter / Centene | $177 | 199% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at St Luke Hospital & Living Center in Marion, Kansas, the facility's negotiated rate of $175 is consistent across all seven major payers, including Humana, Blue Cross Blue Shield, and UnitedHealthcare. This rate is significantly lower than the facility's gross charge of $343, reflecting the contractual protections that prevent balance billing for in-network members. While the facility is a Critical Access Hospital owned by a Government Hospital District, the data does not provide specific county or state average rates for comparison. However, it is important to note that cash-pay options are not listed for this service, meaning patients without insurance coverage would need to contact the billing department directly to inquire about self-pay or prompt-pay discounts before scheduling.
The Medicare benchmark for this procedure is $88.91, which serves as a baseline for evaluating the facility's pricing structure. Although the data does not list a specific cash median or median paid amount, the negotiated rate of $175 represents a standard commercial pricing point that is higher than the Medicare rate but substantially reduced from the full chargemaster. Patients should be aware that while in-network rates are capped to protect against surprise balance billing, they may still exceed the cash price if the patient's deductible has not been met. To ensure the most accurate financial planning, individuals are encouraged to verify their specific plan's allowed amount and ask the hospital to confirm whether any prompt-pay discounts are available for upfront payment, as these can sometimes offer a lower total cost than the standard negotiated rate.