CMS Price Transparency Data

X-ray, foot

Facility: Madison County Health Care System

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $96
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Madison County Health Care System is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $162 (182%)
Insurance Median: $96 (108%)
Cash: $162 (182% of Medicare)
Ins. Median: $96 (108% 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
Aetna $8 - $203 9%
American Hp Mcr Adv-All Plans $8 - $141 9%
Choicecare-All Plans $8 - $296 9%
Medical Associates Hp - All Plans $8 - $134 9%
Medigold-All Plans $8 - $134 9%
Medimore Employee Hp - All Plans $8 - $306 9%
Tricare $8 - $134 9%
UnitedHealthcare $8 - $281 9%
Oscar - All Plans $13 - $201 15%
Blue Cross Blue Shield $16 - $65 18%
Midlands Choice - All Plans $17 - $306 19%
Madison County Sheriff-All Plans $47 - $156 53%
Corvel Wc-All Plans $85 - $281 96%
First Choice-All Plans $89 - $296 100%
First Health-All Plans $89 - $296 100%
Integrated Hp-All Plans $89 - $296 100%
Mutual Of Omaha-All Plans $89 - $296 100%
Plaines Health-All Plans $89 - $296 100%
Preferred Hlth Ntwork-All Plans $89 - $296 100%
Principal Healthcare-All Plans $89 - $296 100%
Usa Managed Care-All Plans $89 - $296 100%
Benefit Admin Of America-All Plans $94 - $312 106%
Iowa Total Care Mcaid-All Plans $94 - $147 106%
Molina Mcaid/Chip -All Plans $96 - $152 108%
Amerigroup Mcaid-All Plans $100 - $155 112%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals