CMS Price Transparency Data

X-ray, foot

Facility: Flowers Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $760
  • Cash Discount Price: $346
  • vs. Medicare Baseline: 8.55x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Flowers Hospital is $760. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.55x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$346

Average discount available for prompt cash payment at this facility.

Insurance Median
$760

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $346 (389%)
Insurance Median: $760 (855%)
Cash: $346 (389% of Medicare)
Ins. Median: $760 (855% of 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 855% of the Medicare baseline (a markup of 755%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Alabama Rehab $20 22%
Medicaid / KanCare $20 - $53 22%
Tricare $72 - $80 81%
Blue Cross Blue Shield $74 - $126 83%
Humana $74 - $82 83%
Medicare (plans) $74 - $82 83%
Node Viva Mcr Adv $74 - $82 83%
UnitedHealthcare $74 - $239 83%
Compassionate Hands $75 - $84 84%
Covenant Hospice $75 - $84 84%
Dayspring Hospice $75 - $84 84%
Node Champva $75 - $84 84%
Node Hospice Non Par $75 - $84 84%
Node Va $75 - $84 84%
Select Health $75 - $83 84%
Southern Care Hospice $75 - $84 84%
Vistacare Hospice $75 - $84 84%
Wiregrass Hospice $75 - $84 84%
Aetna $76 - $1,747 85%
Care Improvement Plus $76 - $84 85%
Cigna $76 - $314 85%
Node Clover Health Mcr Adv $76 - $85 85%
Node Devoted Health Mcr Adv $76 - $84 85%
Veterans Eval Services $76 - $152 85%
Node Wellcare Mcr Adv $77 - $86 87%
Eon Health Care $78 - $87 88%
Prime Health $79 - $1,688 89%
Node Us Dept Of Labor $94 - $105 106%
Ambetter / Centene $113 - $126 127%
Occunet $132 - $147 148%
Self Pay $163 - $718 183%
S & S Healthcare $272 - $598 306%
Choicecare Commercial $380 - $838 427%
American Employee Alliance $434 - $957 488%
Coventry Healthcare $543 - $1,827 611%
Viva Health $652 - $1,436 733%
Multiplan $706 - $1,914 794%
Standard Textile $760 - $1,675 855%
Alamed Wc $766 - $1,688 862%
Health Choice $793 - $1,747 892%
Equian $814 - $1,887 916%
Qhp $814 - $1,795 916%
Novanet $869 - $1,914 977%
Alabama Work Comp $901 - $1,986 1013%
Ccn/Mednet Ppo $923 - $2,034 1038%
Corvel $923 - $2,034 1038%
Industry Buying Group $923 - $2,034 1038%
Galaxy Health $977 - $2,154 1099%
Health Payors Org $977 - $2,154 1099%
National Provider Net $977 - $2,154 1099%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals