X-ray, foot
Facility: Lindsborg Community Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $538
- Cash Discount Price: $412
- vs. Medicare Baseline: 6.05x 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 605% of the Medicare baseline (a markup of 505%). 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 | 150% |
| Tricare | $277 | 312% |
| Coventry Mcr Adv | $279 | 314% |
| Cigna | $500 | 562% |
| UnitedHealthcare | $530 | 596% |
| Coventry Comm-All Other Plans | $530 | 596% |
| Phcs Preferred-All Plans | $547 | 615% |
| Multiplan-All Plans | $547 | 615% |
| Century Health-All Plans | $559 | 629% |
| Coventry Wc | $559 | 629% |
| Wppa-All Plans | $559 | 629% |
| Health Partners -All Plans | $559 | 629% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Lindsborg Community Hospital, the facility's cash price of $412.00 is lower than the median negotiated rate of $547.00 paid by insurance payers. This price difference highlights a common billing dynamic where commercial insurance contracts often result in higher out-of-pocket costs for patients compared to self-pay options, particularly for those with high-deductible plans. While the facility is a Critical Access Hospital in Lindsborg, KS, and operates as a voluntary non-profit, patients should verify their specific plan's negotiated rates, as some commercial payers listed in this report have allowed amounts ranging from $133 to $559. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill before any insurance claim is processed.
When evaluating the cost of this service, it is important to compare the facility's rates against the Medicare benchmark rather than the hospital's gross charge. The Medicare amount for this procedure is $88.91, and the facility's cash rate of $412.00 represents a markup of 6.1 times the Medicare rate. Although commercial negotiated rates typically average between 200% and 300% of Medicare, the specific rates here vary significantly by payer, with some plans paying as little as $133 and others up to $559. Patients should be aware that balance billing can occur if they receive care from out-of-network providers, but the No Surprises Act protects against surprise bills for emergency services and non-emergency care at in-network