CMS Price Transparency Data

X-ray, foot

Facility: Jeff Davis Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $136
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Jeff Davis Hospital is $136. 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 1.53x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $136 (153%)
Cash: $138 (155% of Medicare)
Ins. Median: $136 (153% 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
Medicaid / KanCare $31 - $231 35%
Humana $32 - $366 36%
Peach_State $32 - $86 36%
Wellcare $32 - $86 36%
Pen_Network $48 54%
Medicare (plans) $49 - $135 55%
Blue Cross Blue Shield $50 - $323 56%
Care_Improvement_Plus $50 - $136 56%
Coventry_Hmo $111 - $301 125%
Coventry_Pos $111 - $301 125%
Uhc_Hmo $119 - $323 134%
Uhc_Indemnity $119 - $323 134%
Uhc_Ppo $119 - $323 134%
Coventry_Ppo $122 - $331 137%
Beech_Street $127 - $344 143%
Care_Source $127 - $344 143%
Cigna $127 - $344 143%
One_Health_Ppo $127 - $344 143%
Choicecare $135 - $366 152%
Community_Care_Network $135 - $366 152%
Georgia_Hospital_Network $135 - $366 152%
Industry_Buying_Group $135 - $366 152%
Novanet $135 - $366 152%
Principal_Health_Care_Of_Georgia $135 - $366 152%
Three_Rivers_Provider_Network $135 - $366 152%
Usa_Managed_Care $135 - $366 152%
Memorial_Health_Partners $143 - $387 161%
Tricare $148 - $400 166%
Multiplan $151 - $409 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals