X-ray, foot
Facility: Mitchell County Hospital Health Systems
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $247
- Cash Discount Price: $234
- vs. Medicare Baseline: 2.78x 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 278% of the Medicare baseline (a markup of 178%). 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 | $89 - $260 | 100% |
| Blue Cross Blue Shield | $135 | 152% |
| Triwest Well Mark All Plans | $221 | 249% |
| Aetna | $234 | 263% |
| Pref Hlth Care Sytms Comm - All Plans | $234 | 263% |
| First Health-All Plans | $234 | 263% |
| Phc Leased Ntwrk Access - All Plans | $247 | 278% |
| Multiplan Ppo - All Plans | $247 | 278% |
| Auxiant-All Plans | $247 | 278% |
| Cigna | $257 | 289% |
| Health Partners Ks-All Plans | $257 | 289% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT 73630) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price is $234.00, which aligns with the median negotiated rate of $247.00 across 11 payers. This cash price is significantly lower than the gross charge of $260.00 and represents a substantial discount compared to the Medicare benchmark of $88.91, with the cash rate being approximately 2.8 times the Medicare amount. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying the cash price upfront more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. To maximize savings, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass administrative fees and reduce the final bill by 20% to 50%.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before receiving care. The data shows a wide range of payer-specific rates, with UnitedHealthcare offering the lowest high-end rate of $260.00 across three plans, while others like Blue Cross Blue Shield and Triwest Well Mark All Plans have a single plan rate of $135.00 and $221.00 respectively. Because commercial rates can vary significantly by payer, patients should compare their specific insurance allowed amount against the cash price to determine the most economical option. If a patient receives an itemized bill