X-ray, foot
Facility: Scott County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $268
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.01x 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 301% of the Medicare baseline (a markup of 201%). 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 | $49 - $283 | 55% |
| Humana | $125 | 141% |
| Blue Cross Blue Shield | $135 | 152% |
| Wppa | $179 - $1,200 | 201% |
| Aetna | $268 | 301% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Scott County Hospital in Scott City, Kansas, the facility's negotiated rates range from $49 to $1,200 across five insurance plans, with a median negotiated amount of $268. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. While the gross charge listed is $298, commercial insurance rates often exceed the cash price due to administrative costs and contract dynamics; however, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, which can result in higher out-of-pocket costs if the allowed amount exceeds the cash rate. It is important to note that the cash median and median paid values are not available for this specific service.
When evaluating the cost, it is essential to compare these rates against the Medicare benchmark, which stands at $88.91 for this procedure. The facility's negotiated rates are significantly higher than the Medicare amount, reflecting the standard markup in commercial pricing. Patients should be aware of the No Surprises Act, which prohibits balance billing for out-of-network providers at in-network facilities, and should never sign away their rights to dispute surprise bills. Before scheduling, individuals should explicitly request self-pay or prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid upfront, and always demand a full itemized bill to ensure no errors or unbundled charges are included.