X-ray, foot
Facility: Amberwell Atchison Association
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $241
- Cash Discount Price: $471
- vs. Medicare Baseline: 2.71x 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 271% of the Medicare baseline (a markup of 171%). 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 | $128 - $135 | 144% |
| Triwest - All Plans | $155 | 174% |
| UnitedHealthcare | $155 - $845 | 174% |
| Superior Select Mcr Adv - All Plans | $155 | 174% |
| Humana | $155 - $212 | 174% |
| Va Ccn - All Plans | $155 | 174% |
| Ambetter / Centene | $241 | 271% |
| Cigna | $259 | 291% |
| Aetna | $259 | 291% |
| Oscar - All Plans | $353 | 397% |
| Centrus Health Direct - All Plans | $353 | 397% |
| Multiplan - All Plans | $367 | 413% |
| Wppa Providrs Care - All Plans | $424 | 477% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Amberwell Atchison Association in Atchison, KS, the cash price is $471.00, which matches the facility's median negotiated rate of $241.00 when compared to the state average. While commercial payers like UnitedHealthcare and Humana have negotiated rates ranging from $155 to $845, the cash price remains the lowest option listed here. Patients with high-deductible plans should consider paying cash directly, as the $471.00 cash rate is significantly lower than the maximum negotiated amounts some insurers may allow, potentially saving money if their out-of-pocket costs are high. It is important to verify "self-pay" or "prompt-pay" discounts with the hospital before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative fees and claims processing costs.
The facility's pricing is benchmarked against the Medicare rate of $88.91, which serves as the objective baseline for healthcare costs in this region. The cash price of $471.00 represents a 2.7x markup over the Medicare amount, reflecting the standard administrative and operational costs associated with commercial billing. Since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement to review specific CPT codes and identify any unbundled charges or services not rendered. If a balance bill arises from an out-of-network provider, the No Surprises Act may protect patients from paying the difference between the provider's chargemaster and the insurance allowed amount, so disputing unexpected bills with the insurer is a critical first step before agreeing to any payment plans.