X-ray, foot
Facility: Bob Wilson Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $198
- Cash Discount Price: $101
- vs. Medicare Baseline: 2.23x 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 223% of the Medicare baseline (a markup of 123%). 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 |
|---|---|---|
| UnitedHealthcare | $70 - $238 | 79% |
| Medicare (plans) | $70 - $91 | 79% |
| Humana | $70 - $91 | 79% |
| Aetna | $70 - $229 | 79% |
| Kansas Health | $70 - $91 | 79% |
| Centura Employee Plan | $91 | 102% |
| Blue Cross Blue Shield | $180 | 202% |
| Multiplan | $198 - $266 | 223% |
| Health Partners Of Kansas | $207 - $269 | 233% |
| Wppa | $209 - $271 | 235% |
Consumer Guidance & Cost Commentary
For the X-ray, foot procedure (CPT 73630) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $101.00, which is significantly lower than the negotiated rates paid by insurance plans ranging from $70 to $271. While the Medicare benchmark for this service is $88.91, the facility's cash price of $101.00 is slightly higher than the Medicare amount but remains competitive compared to the high end of commercial negotiated rates seen with payers like Multiplan and Health Partners Of Kansas. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount, potentially leading to higher out-of-pocket costs if the patient's deductible has not yet been met.
To minimize unexpected costs, consumers should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. It is important to note that while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still request an itemized bill to ensure no unbundled codes or services not rendered are included. Since over 80% of hospital bills contain errors, disputing any discrepancies in writing with the billing supervisor is a critical step before finalizing payment, ensuring the final charge aligns with the transparent data provided.