CMS Price Transparency Data

X-ray, foot

Facility: Marion Communtiy Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $969
Cash Discount Price: $2,661
vs. Medicare Baseline: 10.90x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Marion Communtiy Hospital is $969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,661. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.90x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$2,661

Average discount available for prompt cash payment at this facility.

Insurance Median

$969

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: $2,661 (2993%)

Insurance Median: $969 (1090%)

Cash: $2,661 (2993% of Medicare)

Ins. Median: $969 (1090% 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 1090% of the Medicare baseline (a markup of 990%). 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
United	$182 - $2,403	205%
Avmed	$291 - $1,495	327%
Simply	$373 - $822	420%
Corvel Corporation	$394	443%
Prime Health	$402	452%
Careworks (Rockport Community)	$415	467%
Marion County Schools	$415	467%
Molina Healthcare	$461 - $1,709	519%
Humana	$485 - $1,068	545%
Evolutions	$558 - $1,228	628%
Evolutions Healthcare	$558 - $1,228	628%
Sunshine State Health Plan	$618 - $1,362	695%
Aetna	$727 - $1,602	818%
Plotkin Health	$1,212 - $2,670	1363%
Prime Health Sheriff	$1,212 - $2,670	1363%
Multiplan	$1,891 - $4,165	2127%
Ppo Next	$2,061 - $4,538	2318%
Novanet	$2,182 - $4,805	2454%

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 $2,661.
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 Marion Communtiy 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.