X-ray, foot
Facility: Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $324
- Cash Discount Price: $589
- vs. Medicare Baseline: 3.64x 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 364% of the Medicare baseline (a markup of 264%). 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 | $142 | 160% |
| Humana | $294 | 331% |
| Tricare | $294 | 331% |
| Medicare (plans) | $297 | 334% |
| Ambetter / Centene | $324 | 364% |
| Coventry - All Other Plans | $530 | 596% |
| Health Partners Of Kansas - All Plans | $559 | 629% |
| Preferred Healthcare-All Plans | $559 | 629% |
| Wppa/Providers Care-All Plans | $824 | 927% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Memorial Hospital in Abilene, KS, the cash price is $589.00, which matches the facility's median paid amount. While the facility is a Critical Access Hospital owned by a Government Hospital District, the negotiated rates vary significantly by insurer, ranging from $142 with Blue Cross Blue Shield to $824 with Wppa/Providers Care. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; in this case, the lowest negotiated rate of $142 is lower than the cash price, but several payers, including Health Partners of Kansas and Preferred Healthcare, have negotiated rates of $559 that are identical to the cash price. Patients with high-deductible plans may find paying the cash price of $589.00 more cost-effective than using insurance, especially if their deductible has not yet been met or if the insurance allowed amount exceeds the cash rate.
To ensure you are receiving the best possible rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services. If you are unsure about the accuracy of your charges, request a full itemized audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Finally, when evaluating the facility's pricing