X-ray, foot
Facility: Community Memorial Healthcare, Inc.
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $135
- Cash Discount Price: $220
- 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 |
|---|---|---|
| Aetna | $39 - $266 | 44% |
| UnitedHealthcare | $48 - $203 | 54% |
| Blue Cross Blue Shield | $135 | 152% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Community Memorial Healthcare, Inc. in Marysville, Kansas, the cash price is $220.00, which matches the facility's median negotiated rate of $135.00 for UnitedHealthcare and Blue Cross Blue Shield. While the facility's cash rate is higher than the state average for this procedure, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that the facility offers a prompt-pay discount for upfront payment, which can reduce the balance by 20% to 50%, effectively lowering the cost below the standard cash price.
The Medicare benchmark for this service is $88.91, indicating that the facility's cash rate of $220.00 represents a markup of 1.5 times the Medicare amount. Although the facility is an in-network Critical Access Hospital, patients should verify their specific plan details before scheduling, as some in-network contracts may result in higher allowed amounts than the cash price. To ensure you receive the best possible rate, request a self-pay classification and prompt-pay discount prior to check-in, and always ask for an itemized bill to confirm that no unexpected services or unbundled charges are included.