X-ray, foot
Facility: Girard Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $122
- Cash Discount Price: $209
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| Ambetter / Centene | $122 | 137% |
| Kansas Superior Select-All Plans | $122 | 137% |
| Aetna | $122 - $609 | 137% |
| Blue Cross Blue Shield | $122 - $135 | 137% |
| Medicare (plans) | $122 | 137% |
| UnitedHealthcare | $122 - $331 | 137% |
| Humana | $122 | 137% |
| Multiplan-All Plans | $322 | 362% |
| Uhhis-All Plans | $331 | 372% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Girard Medical Center in Girard, Kansas, the facility's cash median rate of $209.00 is notably higher than the state average of $122.00, which aligns with the national median paid amount for this procedure. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that paying cash directly can sometimes be more cost-effective than using insurance if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. Although the facility's negotiated rate is listed at $122.00, which matches the state average, it is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier and can sometimes be higher than the cash price due to administrative costs.
To ensure you are not overcharged, we recommend requesting a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's chargemaster rate and your insurance allowed amount, remember that the No Surprises Act generally protects you from these unexpected costs for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce your bill by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle that often inflates commercial rates.