CMS Price Transparency Data

X-ray, foot

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,281
Cash Discount Price: $3,168
vs. Medicare Baseline: 14.41x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Hca-Healthone DBA Swedish Medical Center is $1,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.41x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$3,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,281

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: $3,168 (3563%)

Insurance Median: $1,281 (1441%)

Cash: $3,168 (3563% of Medicare)

Ins. Median: $1,281 (1441% 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 1441% of the Medicare baseline (a markup of 1341%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$20 - $2,865	22%
United	$138 - $1,742	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $3,484	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$222 - $2,478	250%
Vail Health	$288 - $588	324%
Kaiser	$379 - $1,250	426%
Bright Health	$568 - $1,161	639%
Colorado Program For Children With Special Needs	$833 - $1,703	937%
Aetna	$1,000 - $2,044	1125%
Western Plains Community Health	$1,231 - $2,516	1385%
Northcare	$1,326 - $2,710	1491%
Physician Health Partners	$1,326 - $2,710	1491%
Medical Development International	$1,515 - $3,097	1704%
Prime Health	$1,705 - $3,484	1918%

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 $3,168.
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 Hca-Healthone DBA Swedish Medical Center 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.