X-ray, foot
Facility: Smith County Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $231
- Cash Discount Price: $246
- vs. Medicare Baseline: 2.60x 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 260% of the Medicare baseline (a markup of 160%). 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 | $133 | 150% |
| Medicaid / KanCare | $172 - $246 | 193% |
| Multiplan-All Plans | $221 | 249% |
| Wppa-All Plans | $231 | 260% |
| UnitedHealthcare | $234 | 263% |
| Midlands Choice-All Plans | $234 | 263% |
| Health Partners Of Ks Ppo-All Plans | $234 | 263% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Smith County Memorial Hospital in Smith Center, Kansas, the cash price is $246.00, which matches the facility's gross charge and the median cash rate. This amount is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 2.6 times the federal rate. While Medicaid / KanCare plans negotiate a range between $172 and $246, the cash price remains the lowest option among the commercial payers listed, including UnitedHealthcare, Multiplan, and Wppa, all of which have negotiated rates starting at $231 or higher. Patients with high-deductible plans may find it financially advantageous to pay the full cash price of $246.00 upfront, as this avoids the administrative overhead and potential higher negotiated rates that insurance claims often incur.
To potentially lower this cost, patients should proactively ask the hospital about "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full within a short window, such as 30 days. This discount bypasses the costly insurance billing cycle and provides immediate liquidity to the facility. Additionally, since the facility is a Critical Access Hospital with government local ownership, patients should verify if "self-pay" or "prompt-pay" rates are available before scheduling, as billing systems may default to insurance processing once a card is on file. If a patient receives a bill after using insurance, they should request an itemized audit to ensure no errors exist, as over 80% of hospital bills contain mistakes that can be corrected.