X-ray, foot
Facility: Osborne County Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $227
- Cash Discount Price: $214
- vs. Medicare Baseline: 2.55x 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 255% of the Medicare baseline (a markup of 155%). 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 |
|---|---|---|
| UnitedHealthcare | $183 - $199 | 206% |
| Health Partners Of Kansas | $207 - $225 | 233% |
| Wppa | $229 - $249 | 258% |
| Blue Cross Blue Shield | $236 - $257 | 265% |
Consumer Guidance & Cost Commentary
For the CPT code 73630 (X-ray, foot), Osborne County Memorial Hospital in Osborne, KS, lists a cash median price of $214.00, which is notably lower than the facility's gross charge of $252.00. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as the negotiated rates for in-network payers like UnitedHealthcare and Blue Cross Blue Shield range from $183 to $257, often exceeding the cash price. To minimize out-of-pocket costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if settled upfront, bypassing the administrative overhead associated with insurance claims processing.
It is important to distinguish between the facility's negotiated rates and the federal Medicare benchmark of $88.91 for this service, which serves as a scientifically validated baseline for "true cost." Although the data does not provide specific county or state average comparisons for this procedure, patients should be aware that commercial negotiated rates often include administrative markups that can inflate the final bill compared to the Medicare rate. If a patient receives a bill that exceeds their expected insurance payment, they should request an itemized audit to identify potential errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, meaning any unexpected charges should be disputed with the insurer rather