X-ray, foot
Facility: Minneola District Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $157
- Cash Discount Price: $123
- vs. Medicare Baseline: 1.77x 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 |
|---|---|---|
| Humana | $8 - $124 | 9% |
| Va Community Care Program-All Plans | $8 - $124 | 9% |
| UnitedHealthcare | $8 - $185 | 9% |
| Aetna | $27 - $185 | 30% |
| Medicaid / KanCare | $27 - $185 | 30% |
| Providrs Care Network-All Plans | $27 - $157 | 30% |
| Blue Cross Blue Shield | $135 | 152% |
| Corporate Plan Management-All Plans | $149 - $157 | 168% |
| Triwest-All Plans | $158 - $166 | 178% |
| Preferred Health Care (Coventry)-All Other Plans | $158 - $166 | 178% |
| Phc (Coventry) Leased Network | $166 - $176 | 187% |
| Health Partners Of Kansas-All Plans | $166 - $176 | 187% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Minneola District Hospital, the cash price is $123.00, which is lower than the facility's negotiated rates of $157.00 and the median paid by insurers of $162.00. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average comparisons to contextualize these figures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $123.00 rate is significantly lower than the amounts typically negotiated with major payers like UnitedHealthcare ($8–$185) or Aetna ($27–$185). To secure this lower rate, patients should request a "self-pay" or "prompt-pay" discount before scheduling, as billing systems often default to insurance processing once a card is on file.
The facility's gross charge of $175.00 is marked up significantly compared to the Medicare benchmark of $88.91, a ratio of 1.8 times the Medicare rate. This markup is common in commercial billing, where administrative costs and contract dynamics often inflate prices to 200% to 300% of the Medicare baseline. If you receive a bill from this facility, it is crucial to request an itemized audit to verify that no services were unbundled or double-charged, as over 80% of hospital bills contain errors. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so you should not feel pressured to pay unexpected differences immediately without disput