X-ray, foot
Facility: Lincoln County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $135
- Cash Discount Price: $184
- vs. Medicare Baseline: 1.52x 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 | $135 | 152% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Lincoln County Hospital in Lincoln, KS, the facility's negotiated rate is $135, which matches the lowest and highest prices reported for this service. This rate is significantly higher than the cash price of $184, meaning patients paying out-of-pocket could potentially save money by choosing self-pay options. While the facility is a Critical Access Hospital owned by the local government, the negotiated rate of $135 exceeds the Medicare benchmark of $88.91 by 50%, indicating a markup above the federal cost baseline. Because the cash price is lower than the insurance negotiated rate, individuals with high-deductible plans or those without insurance may find it financially advantageous to pay the cash price directly, provided they confirm the facility offers a self-pay discount.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected charges can still occur if ancillary services are out-of-network. To avoid surprise bills, it is essential to request a full itemized billing audit before paying, ensuring no unbundled codes or services not rendered are included in the final invoice. Additionally, since hospitals often offer prompt-pay discounts for upfront payments, patients should explicitly ask for a self-pay classification and a prompt-pay reduction at the time of scheduling rather than waiting until after receiving a large insurance bill. Verifying these discounts and reviewing the detailed line items will help ensure the patient receives the most accurate and transparent pricing available for this procedure.