CMS Price Transparency Data

X-ray, foot

Facility: Sky Ridge Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $971
Cash Discount Price: $3,577
vs. Medicare Baseline: 10.92x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Sky Ridge Medical Center is $971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,577. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.92x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$3,577

Average discount available for prompt cash payment at this facility.

Insurance Median

$971

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: $3,577 (4023%)

Insurance Median: $971 (1092%)

Cash: $3,577 (4023% of Medicare)

Ins. Median: $971 (1092% 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 1092% of the Medicare baseline (a markup of 992%). 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 - $3,530	22%
United	$138 - $2,146	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $4,293	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$218 - $3,053	245%
Vail Health	$363 - $725	408%
Kaiser	$477 - $1,693	536%
Bright Health	$716 - $1,431	805%
Aetna	$1,259 - $2,518	1416%
Western Plains Community Health	$1,550 - $3,100	1743%
Northcare	$1,670 - $3,339	1878%
Physician Health Partners	$1,670 - $3,339	1878%
Medical Development International	$1,908 - $3,816	2146%
Prime Health	$2,147 - $4,293	2415%

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 $3,577.
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 Sky Ridge 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.