CMS Price Transparency Data

X-ray, foot

Facility: Montrose Regional Health

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $119
Cash Discount Price: $130
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Montrose Regional Health is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.34x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $130 (146%)

Insurance Median: $119 (134%)

Cash: $130 (146% of Medicare)

Ins. Median: $119 (134% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$8 - $535	9%
Humana	$8 - $541	9%
Medicare (plans)	$8 - $98	9%
UnitedHealthcare	$8 - $541	9%
Montrose Community Healthplan-All Plans	$11 - $484	12%
United Rocky Mountain Chp-All Other Plans	$13 - $245	15%
United Rocky Mountain Private Plan	$14 - $526	16%
United Rocky Mountain Self Insured	$14 - $541	16%
Sloans Lake Managed Care-All Plans	$20 - $542	22%
Three Rivers-All Plans	$25 - $541	28%
Western Healthcare Alliance-All Plans	$25 - $512	28%
Cigna	$27 - $541	30%
Multiplan-All Plans	$27 - $541	30%
Uchpa - All Plans	$27 - $541	30%
United Rocky Mountain Mcaid	$28 - $222	31%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $130.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Montrose Regional Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73630.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.