X-ray, foot
Facility: Neosho Memorial Regional Medical Center
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $140
- Cash Discount Price: $328
- vs. Medicare Baseline: 1.57x 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 |
|---|---|---|
| Medicaid / KanCare | $49 | 55% |
| Tricare | $135 | 152% |
| Humana | $140 | 157% |
| Aetna | $140 | 157% |
| Va_Ccn | $140 | 157% |
| Medicare (plans) | $140 | 157% |
| Blue Cross Blue Shield | $140 - $149 | 157% |
| Medadv_Uhc | $140 | 157% |
| Medadv_Allwell | $140 | 157% |
| Ambetter / Centene | $221 | 249% |
| Wppa_Providrscare | $363 | 408% |
| United | $364 | 409% |
| Cigna | $416 | 468% |
| Hpk | $416 | 468% |
| Coventry | $416 | 468% |
Consumer Guidance & Cost Commentary
For the X-ray of the foot (CPT code 73630) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median rate is $328.00, while the median negotiated rate across payers is $140.00. This suggests that for patients with high-deductible plans, paying cash upfront might be more expensive than using insurance, as the negotiated rate is significantly lower than the cash price. However, patients should verify if their specific plan has a deductible that has already been met, as paying the full negotiated amount could result in higher out-of-pocket costs if the deductible is not satisfied. Additionally, since this is a Critical Access Hospital with government-local ownership, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, which could further reduce the final bill.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing. The facility's cash rate of $328.00 is approximately 3.7 times the Medicare amount, while the median negotiated rate of $140.00 is about 1.6 times the Medicare amount. When comparing to the state of Kansas, the facility's cash rate is notably higher than the state average, indicating that patients may benefit from seeking out-of-network options or negotiating directly with the billing department. To ensure accuracy, patients should request an itemized bill to review specific CPT codes and avoid paying for services that were not rendered or that were incorrectly bundled.