CMS Price Transparency Data

X-ray, foot

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,321
Cash Discount Price: $4,128
vs. Medicare Baseline: 14.86x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at The Medical Center of Aurora & South Hospital is $1,321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.86x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$4,128

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,321

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: $4,128 (4643%)

Insurance Median: $1,321 (1486%)

Cash: $4,128 (4643% of Medicare)

Ins. Median: $1,321 (1486% 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 1486% of the Medicare baseline (a markup of 1386%). 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 - $3,077	22%
United	$138 - $1,871	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $3,743	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$202 - $2,661	227%
Vail Health	$314 - $632	353%
Kaiser	$413 - $1,476	465%
Bright Health	$619 - $1,248	696%
Colorado Program For Children With Special Needs	$867 - $1,747	975%
Aetna	$1,090 - $2,196	1226%
Western Plains Community Health	$1,342 - $2,703	1509%
Northcare	$1,445 - $2,911	1625%
Physician Health Partners	$1,445 - $2,911	1625%
Medical Development International	$1,652 - $3,327	1858%
Prime Health	$1,858 - $3,743	2090%

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 $4,128.
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 The Medical Center of Aurora & South Hospital 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.