X-ray, foot
Facility: Fredonia Regional Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $180
- Cash Discount Price: $200
- vs. Medicare Baseline: 2.02x 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 202% of the Medicare baseline (a markup of 102%). 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 | $99 - $135 | 111% |
| Aetna | $102 - $180 | 115% |
| UnitedHealthcare | $102 - $180 | 115% |
| Veterans Programs - All Plans | $102 | 115% |
| Cigna | $180 | 202% |
| Meritain-All Plans | $180 | 202% |
| Reserve National-All Plans | $180 | 202% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Fredonia Regional Hospital in Fredonia, KS, the cash price is $200.00, which matches the facility's median negotiated rate of $180.00 and the median paid amount. This cash price is significantly higher than the Medicare benchmark of $88.91, reflecting a markup common in commercial billing where negotiated rates often average 200% to 300% of the federal baseline. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance plans like Blue Cross Blue Shield, Aetna, and UnitedHealthcare have negotiated ranges starting as low as $99 but extending up to $180, depending on the specific plan. Because the cash price of $200.00 exceeds the median negotiated rate of $180.00, patients with high-deductible plans might find it financially advantageous to pay the cash price directly, provided they can secure a prompt-pay discount to bring the final amount closer to the lower end of the insurance spectrum.
To ensure you are not overcharged, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that should be consolidated. If you receive a summary bill, demand a full CPT-coded statement to verify that no services were rendered or that ancillary charges are accurate. Additionally, since the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, you should dispute any surprise bills immediately rather than paying them out of