X-ray, foot
Facility: Clay County Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $248
- Cash Discount Price: $267
- vs. Medicare Baseline: 2.79x 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 279% of the Medicare baseline (a markup of 179%). 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 |
|---|---|---|
| Multiplan- All Plans | $8 - $277 | 9% |
| UnitedHealthcare | $10 - $277 | 11% |
| Wppa/Providrs Care- All Plans | $17 - $271 | 19% |
| Aetna | $17 - $271 | 19% |
| Health Partners - All Plans | $17 - $277 | 19% |
Consumer Guidance & Cost Commentary
For the CPT code 73630 (X-ray, foot) at Clay County Medical Center in Clay Center, KS, the cash price is $267.00, which matches the facility's median negotiated rate of $248.00 and the cash median. This price is significantly higher than the state average, as indicated by a 2.8x multiplier compared to Medicare's benchmark rate of $88.91. While commercial payers like UnitedHealthcare and Aetna negotiate rates up to $277, patients with high-deductible plans may find paying the full cash price of $267.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not been met.
Patients should proactively contact the facility to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront, bypassing the administrative costs associated with insurance claims. It is also important to request a detailed, itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. If a patient receives a balance bill from an out-of-network provider, they should not pay immediately but instead dispute the charge with their insurer and request a No Surprises Act audit to protect against unexpected costs.