CMS Price Transparency Data

X-ray, foot

Facility: East Morgan County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $29
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at East Morgan County Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.33x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $18 (20%)
Insurance Median: $29 (33%)
Cash: $18 (20% of Medicare)
Ins. Median: $29 (33% 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.

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
Aetna $8 - $413 9%
Banner Health $8 - $191 9%
Blue Cross Blue Shield $8 - $364 9%
Clear Spring Health $8 - $191 9%
Healthspring Life & Health Insurance Company, Inc. $8 - $191 9%
Humana $8 - $202 9%
Longevity $8 - $197 9%
Medica $8 - $370 9%
Medicare (plans) $8 - $191 9%
Pinnacol Assurance Workers Comp $8 - $187 9%
Triwest Healthcare Alliance Corp - Va Ccn $8 - $191 9%
UnitedHealthcare $8 - $413 9%
Assist Health Group $9 - $229 10%
Devoted Health Services $9 - $210 10%
Denver Health Medical Plan $14 - $355 16%
Apostrophe, Inc. $16 - $400 18%
First Choice Health Network $16 - $400 18%
Hue Health, Inc $17 - $422 19%
Multiplan $17 - $431 19%
Rocky Mountain Health Plans $17 - $422 19%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals