X-ray, foot
Facility: Hodgeman County Health Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $192
- Cash Discount Price: $218
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $128 - $135 | 144% |
| UnitedHealthcare | $175 - $259 | 197% |
| Triwest - All Plans | $175 | 197% |
| Medicaid / KanCare | $175 - $273 | 197% |
| Humana | $175 | 197% |
| Aetna | $218 | 245% |
| First Health - All Plans | $246 | 277% |
| Health Partners - All Plans | $259 | 291% |
| Wppa (Provdrscare) - All Plans | $259 | 291% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median rate is $218.00, which is notably higher than the state average of $205.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare and Medicaid/KanCare have negotiated ranges starting at $175 but extending up to $259, whereas the cash price remains fixed at $218. This dynamic suggests that for patients with high-deductible plans, paying the cash rate directly might result in lower out-of-pocket costs compared to insurance claims that could be subject to higher negotiated ceilings or deductibles.
To maximize savings, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payments. It is important to verify that any in-network insurance plan has met its deductible before scheduling, as many commercial carriers will bill the full negotiated amount if the deductible has not been satisfied. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should always request an itemized bill to ensure no unbundled codes or services not rendered are included. Given that over 80% of hospital bills contain errors, reviewing the detailed line items before payment is a critical step in avoiding unexpected charges.