CMS Price Transparency Data

X-ray, foot

Facility: Atrium Health Navicent the Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $42
Cash Discount Price: $138
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Atrium Health Navicent the Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.47x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $138 (155%)

Insurance Median: $42 (47%)

Cash: $138 (155% of Medicare)

Ins. Median: $42 (47% 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	$8 - $190	9%
Blue Cross Blue Shield	$8 - $86	9%
Care Source	$8 - $88	9%
Clover	$8 - $88	9%
Eon Health	$8 - $88	9%
Georgia Health Advantage	$8 - $86	9%
Humana	$8 - $190	9%
Pruitt Health	$8 - $86	9%
UnitedHealthcare	$8 - $712	9%
Alliant	$9 - $103	10%
Ambetter / Centene	$10 - $141	11%
Securehealth	$20 - $97	22%
Cigna	$23 - $82	26%
Kaiser	$31 - $179	35%
Multiplan	$179 - $221	201%
Ibg	$195	219%
Novanet	$221	249%
Three Rivers Provider Network	$235	264%
Beechstreet	$257	289%

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 $138.
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 Atrium Health Navicent the 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.