X-ray, foot
Facility: Centura St. Catherine-Dodge City
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $531
- Cash Discount Price: $332
- vs. Medicare Baseline: 5.97x 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 597% of the Medicare baseline (a markup of 497%). 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 | $23 - $158 | 26% |
| Kaiser | $23 | 26% |
| Kansas Health | $23 | 26% |
| Aetna | $23 - $797 | 26% |
| Medicare (plans) | $23 | 26% |
| Cigna | $23 | 26% |
| Humana | $23 | 26% |
| Centura Employee Plan | $91 | 102% |
| UnitedHealthcare | $437 - $655 | 492% |
| Wpaa | $465 - $697 | 523% |
| Christian Health Aid | $531 - $797 | 597% |
| Multiplan | $531 - $896 | 597% |
| Health Partners Of Kansas | $598 - $896 | 673% |
Consumer Guidance & Cost Commentary
For this X-ray of the foot at Centura St. Catherine-Dodge City, the cash median price is $332.00, which is significantly lower than the facility's typical negotiated rates ranging from $23 to $896 across various payers. While the facility's cash price is well below the state average of $531.00, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $88.91, suggesting that for many commercial plans, the negotiated allowed amount will likely be higher than the cash option.
The data indicates that while some payers like Kaiser and Kansas Health have a fixed negotiated rate of $23, others such as Aetna and Multiplan have much higher ranges, with the highest negotiated rate reaching $896. Patients should verify their specific plan's allowed amount before scheduling, as assuming in-network status guarantees the lowest price is a common pitfall. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts before check-in, as paying in full upfront can sometimes bypass administrative fees and reduce the final bill. Given that over 80% of hospital bills contain errors, requesting an itemized CPT-coded statement is the most effective way to identify any unbundled charges or services not rendered before finalizing payment.