X-ray, foot
Facility: Morris County Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $155
- Cash Discount Price: $238
- vs. Medicare Baseline: 1.74x 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $27 | 30% |
| Blue Cross Blue Shield | $128 - $155 | 144% |
| Choice Care Mcr Adv-All Plans | $155 | 174% |
| Va Ccn-All Plans | $155 | 174% |
| UnitedHealthcare | $155 - $397 | 174% |
| Coventry Mcr | $155 | 174% |
| Cigna | $287 | 323% |
| Aetna | $356 | 400% |
| Multiplan-All Plans | $357 | 402% |
| Coventry Comm-All Other Plans | $357 | 402% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Morris County Hospital in Council Grove, Kansas, the facility's cash payment rate of $238.00 is notably higher than the state average of $221.00. While commercial insurance plans like Blue Cross Blue Shield and UnitedHealthcare negotiate rates ranging from $128 to $397, patients with high-deductible plans might find the cash price more affordable if their insurance allowed amount exceeds $238.00. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, sometimes making them higher than the direct cash rate despite the insurance network status.
The facility's Medicare benchmark of $88.91 serves as a critical baseline for evaluating pricing, as commercial rates are frequently marked up significantly above this federal standard. Although the facility is a government-owned Critical Access Hospital, the data shows a wide variance in what different payers are willing to pay, with some plans capping payments at $155.00 while others reach up to $397.00. To ensure you receive the best possible rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the costly insurance claims processing cycle.