X-ray, foot
Facility: Goodland Regional Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $174
- Cash Discount Price: $261
- vs. Medicare Baseline: 1.96x 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 |
|---|---|---|
| Blue Cross Blue Shield | $135 | 152% |
| Wppa | $164 - $347 | 184% |
| UnitedHealthcare | $174 - $347 | 196% |
Consumer Guidance & Cost Commentary
For the CPT code 73630 (X-ray, foot) at Goodland Regional Medical Center in Goodland, KS, the cash median price is $261.00, which is lower than the facility's negotiated rates of $174.00 and the highest commercial payer rates of $347.00. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should be aware that paying cash upfront can sometimes result in a lower total cost than using insurance, particularly if their plan has a high deductible or if the negotiated rate exceeds the cash price. It is important to verify the specific "self-pay" or "prompt-pay" discount rates with the hospital before scheduling, as these upfront payment incentives can bypass the administrative overhead and higher negotiated rates charged to commercial payers.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the facility's gross charges, as Medicare rates represent a scientifically validated baseline for the true cost of care. For this procedure, the Medicare amount is $88.91, and the facility's cash rate of $261.00 is approximately 2.0 times the Medicare amount, which falls within the typical range where commercial rates may exceed fair pricing thresholds. To ensure you are not overpaying, request a full itemized billing audit before finalizing payment, as summary bills often obscure individual line items and potential errors. If you receive a bill, dispute any charges for services not rendered or unbundled components in writing to avoid unnecessary debt.