X-ray, foot
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $258
- Cash Discount Price: $338
- vs. Medicare Baseline: 2.90x 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 290% of the Medicare baseline (a markup of 190%). 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 | $177 - $229 | 199% |
| Americas Choice Provider Network | $206 - $267 | 232% |
| Usa Managed Care Organization | $221 - $286 | 249% |
| Velocity | $221 - $286 | 249% |
| Provider Network Of America | $221 - $286 | 249% |
| Quiktrip Corporation | $221 - $286 | 249% |
| Multiplan-Phcs | $236 - $306 | 265% |
| Prime Health Services | $250 - $325 | 281% |
| Medincrease | $265 - $344 | 298% |
Consumer Guidance & Cost Commentary
For the X-ray, foot procedure (CPT 73630) at the Rehabilitation Hospital Of Overland Park, the cash price is $338.00, which matches the facility's median negotiated rate. While the facility's cash price is significantly higher than the Medicare benchmark of $88.91, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the lowest negotiated rate among the nine payers is $177, and the highest is $344, meaning some patients with high-deductible plans might save money by paying cash directly, provided they qualify for a self-pay or prompt-pay discount. Patients should verify their specific plan's deductible status before relying on insurance, as paying the full negotiated rate without meeting the deductible can result in higher out-of-pocket costs than paying the cash price upfront.
The data indicates that while the facility's cash rate is well above the Medicare baseline, the variation in negotiated rates across different insurance plans suggests that the "best price" depends entirely on the specific carrier and plan tier. For instance, Blue Cross Blue Shield has a low-end negotiated rate of $177, whereas Medincrease's rate reaches $344. Because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should not fear unexpected bills for the primary procedure itself. However, if a patient chooses to pay cash, they must explicitly request a "waiver of insurance submission" to prevent the hospital from automatically billing their insurer and then attempting to collect the difference. Always ask the billing department for a prompt-pay discount before scheduling to ensure you are receiving the