CMS Price Transparency Data

X-ray, foot

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $48
Cash Discount Price: $253
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Cleveland Clinic Indian River Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.54x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $253 (285%)

Insurance Median: $48 (54%)

Cash: $253 (285% of Medicare)

Ins. Median: $48 (54% 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
Aetna	$6 - $562	7%
Blue Cross Blue Shield	$7 - $572	8%
Avmed	$8 - $202	9%
Careplus	$8 - $88	9%
Freedom Health	$8 - $88	9%
Independent Living Systems	$8 - $93	9%
Magellan	$8 - $422	9%
United	$8 - $88	9%
Value Options	$8	9%
Wellcare	$8 - $88	9%
Wellmed	$8 - $88	9%
Cigna	$9 - $211	10%
Clear Spring Health	$9 - $49	10%
Clarity Health	$48 - $457	54%
The Legacy Companies	$48 - $457	54%
National Provider Network	$52	58%
Three Rivers	$52	58%
Consociate Health	$56	63%
Carelon Bh Strategies	$88	99%
Humana	$88	99%
Devoted Health	$97	109%
Bmi	$387	435%
Multiplan	$562	632%

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 $253.
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 Cleveland Clinic Indian River 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.