CMS Price Transparency Data

X-ray, foot

Facility: Decatur County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $175
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Decatur County Hospital is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.97x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $175 (197%)
Insurance Median: $175 (197%)
Cash: $175 (197% of Medicare)
Ins. Median: $175 (197% 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
Wellmark Hmo $60 67%
Wellmark Ppo - All Other Plans $65 73%
Blue Cross Blue Shield $70 79%
Champva -All Plans $99 111%
Everystep Hospice-All Plans $114 128%
Aetna $118 - $173 133%
Tricare $118 133%
UnitedHealthcare $131 - $186 147%
Benefit Admin System-All Plans $142 160%
Humana $160 180%
Meritain Health-All Plans $160 180%
Misc Commercial-All Plans $160 180%
All Savers-All Plans $164 184%
Allied Benefit System-All Plans $164 184%
American Family Ins Grp-All Plans $164 184%
Rural Carrier Benefit Plan-All Plans $169 190%
Christian Healthcare -All Plans $175 197%
Medica-All Other Plans $175 197%
Golden Rule-All Plans $186 209%
Ntca The Rural Broadband-All Plans $186 209%
Cigna $188 211%
Medical Mutual-All Plans $193 217%
Farm Bureau Financial-All Other Plans $197 222%
Farm Bureau Property And Ca $197 222%
Medi Share-All Plans $199 224%
Uhss-All Plans $199 224%
Health Partners-All Plans $201 226%
Lewermark-All Plans $208 234%
Mail Handlers Benefit-All Plans $215 242%
Midlands Choice-All Plans $215 242%
Priority Health-All Plans $219 246%
Iowa Total Care Mcaid-All Plans $223 251%
Amerigroup Mcaid-All Plans $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals