CMS Price Transparency Data

X-ray, foot

Facility: St Marys Good Samaritan Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $102
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at St Marys Good Samaritan Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.15x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $205 (231%)
Insurance Median: $102 (115%)
Cash: $205 (231% of Medicare)
Ins. Median: $102 (115% 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
Peach State $26 29%
Wellcare $26 - $102 29%
Blue Cross Blue Shield $49 - $273 55%
Aetna $68 - $302 76%
Ambetter / Centene $68 - $102 76%
Care Improvement Plus $68 - $102 76%
Caresource $68 - $102 76%
Cigna $68 - $310 76%
Coventry $68 - $284 76%
Eon Health Plan $68 - $102 76%
Humana $68 - $284 76%
Kaiser Permanente $68 - $102 76%
Molina $68 - $102 76%
Pruitthealth Premier $68 - $102 76%
Todays Options Pffs $68 - $102 76%
Todays Options Ppo $68 - $102 76%
UnitedHealthcare $68 - $2,632 76%
Vaccn United $68 - $102 76%
First Health $189 - $284 213%
Phcs $189 - $284 213%
Meritain $202 - $302 227%
Multiplan $214 - $329 241%
Nova $214 - $340 241%
Three Rivers Provider Network $227 - $340 255%
Amerigroup $252 - $378 283%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals