X-ray, foot
Facility: Susan B Allen Memorial Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $554
- Cash Discount Price: $125
- vs. Medicare Baseline: 6.23x 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 623% of the Medicare baseline (a markup of 523%). 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 | $350 | 394% |
| Providrs Care | $757 | 851% |
Consumer Guidance & Cost Commentary
For the CPT code 73630 (X-ray, foot) at Susan B Allen Memorial Hospital in El Dorado, KS, the facility's cash median price of $125.00 is significantly lower than the state average, which is reflected in the 6.2% variance noted against Medicare benchmarks. While the hospital's negotiated rates with UnitedHealthcare and Providrs Care are set at $350 and $757 respectively, these figures often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $125.00 cash median directly, as this amount is substantially lower than the commercial negotiated rates, effectively bypassing the inflated administrative costs embedded in insurance billing cycles.
To maximize savings, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by 20% to 50%. Since the facility is a voluntary non-profit acute care hospital, asking about these upfront payment incentives before scheduling is crucial, as billing systems may automatically submit claims to insurance carriers if coverage is on file, potentially voiding any cash discount agreement. Additionally, patients should request a full itemized bill rather than accepting a summary invoice, as detailed line-by-line statements are the most effective way to identify errors or unbundled charges that could otherwise lead to unexpected costs.