CMS Price Transparency Data

X-ray, foot

Facility: Longs Peak Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $146
Cash Discount Price: $385
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Longs Peak Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.64x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $385 (433%)

Insurance Median: $146 (164%)

Cash: $385 (433% of Medicare)

Ins. Median: $146 (164% 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	$27 - $442	30%
Aetna	$62 - $88	70%
Select Health	$77 - $88	87%
Cigna	$88 - $779	99%
Cms	$88	99%
Devoted Health	$88	99%
Humana	$88	99%
Kaiser	$88	99%
UnitedHealthcare	$88 - $641	99%
Simplified Benefits Administration	$387 - $459	435%
Denver Health Medical Plan	$550 - $659	619%
Rocky Mountain Health Plan	$560	630%
First Health	$648	729%
Multiplan	$659 - $758	741%
Phcs	$769	865%

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 $385.
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 Longs Peak 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.