CMS Price Transparency Data

X-ray, foot

Facility: HCA Healthone Mountain Ridge

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,521
Cash Discount Price: $4,631
vs. Medicare Baseline: 17.11x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Healthone Mountain Ridge is $1,521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,631. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 17.11x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$4,631

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,521

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: $4,631 (5209%)

Insurance Median: $1,521 (1711%)

Cash: $4,631 (5209% of Medicare)

Ins. Median: $1,521 (1711% 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 1711% of the Medicare baseline (a markup of 1611%). 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 - $3,489	22%
United	$138 - $2,122	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $4,243	164%
Cigna	$179 - $3,018	201%
Rocky Mountain Health Plan	$182	205%
Life Source Services	$350	394%
Vail Health	$359 - $717	404%
Kaiser	$446 - $1,674	502%
Bright Health	$708 - $1,414	796%
Colorado Program For Children With Special Needs	$802 - $1,603	902%
Aetna	$1,245 - $2,489	1400%
Western Plains Community Health	$1,533 - $3,065	1724%
Northcare	$1,651 - $3,300	1857%
Physician Health Partners	$1,651 - $3,300	1857%
Medical Development International	$1,887 - $3,772	2122%
Prime Health	$2,123 - $4,243	2388%

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 $4,631.
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 Mountain Ridge 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.