X-ray, foot
Facility: Republic County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $307
- Cash Discount Price: $251
- vs. Medicare Baseline: 3.45x 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 345% of the Medicare baseline (a markup of 245%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $284 | 319% |
| Meritain-All Plans | $301 | 339% |
| Aetna | $301 | 339% |
| UnitedHealthcare | $307 | 345% |
| Cigna | $317 | 357% |
| Midlands Choice-All Plans | $317 | 357% |
| First Health-All Plans | $317 | 357% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Republic County Hospital in Belleville, KS, the facility's cash price of $251.00 is lower than the median negotiated rate of $307.00 paid by insurance carriers. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans might find paying out-of-pocket initially cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that commercial rates often include administrative overhead for claims processing, which can inflate the baseline price by 20% to 40% compared to direct cash payments.
To minimize costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass costly insurance billing cycles. Although the data does not provide specific county or state average comparisons for this service, understanding that Medicare benchmarks serve as a baseline for fair pricing can help patients evaluate the markup. If a patient receives a bill that includes charges for services not rendered or unbundled components, they should request a formal itemized audit to identify errors, as over 80% of hospital bills contain mistakes that can be corrected through written dispute.