X-ray, foot
Facility: William Newton Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $135
- Cash Discount Price: $281
- vs. Medicare Baseline: 1.52x 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 |
|---|---|---|
| Triwest- All Plans | $66 - $131 | 74% |
| Ambetter / Centene | $68 - $375 | 76% |
| Blue Cross Blue Shield | $68 - $135 | 76% |
| UnitedHealthcare | $68 - $338 | 76% |
| Providrs Care Nexus | $115 - $230 | 129% |
| Providrs Care - All Other Plans | $131 - $263 | 147% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at William Newton Hospital in Winfield, Kansas, the cash price is $281.00, which matches the facility's median paid amount. While the hospital's negotiated rates with major payers like UnitedHealthcare and Ambetter / Centene range from $68 to $375, the cash price remains the lowest option listed. This aligns with the principle that cash-pay can sometimes be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. The facility, a Critical Access Hospital owned by the local government, has a facility rating of 4, and the Medicare benchmark for this service is $88.91.
Patients should be aware that while the hospital offers a median negotiated rate of $135.00, the actual amount paid varies significantly by insurer, with Triwest- All Plans ranging from $66 to $131. To potentially lower costs further, patients should ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50%. Additionally, since over 80% of hospital bills contain errors, it is advisable to request a full itemized CPT-coded bill rather than accepting a summary invoice. If a balance bill arises from out-of-network ancillary services, patients may have protections under the No Surprises Act, but they should verify their coverage status and deductible requirements before proceeding.