CMS Price Transparency Data

X-ray, foot

Facility: Monroe County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $96
Cash Discount Price: $116
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Monroe County Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$116

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: $116 (130%)

Insurance Median: $96 (108%)

Cash: $116 (130% 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.

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
Wellmark Hmo	$73	82%
Wellmark Ppo - All Other Plans	$78	88%
Mahp Mcare - All Plans	$81	91%
Tricare	$81	91%
UnitedHealthcare	$81 - $184	91%
Va Ccn - All Plans	$81	91%
Amerigroup Mcare	$82	92%
Humana	$82	92%
Wellmark Mcare	$82	92%
Aetna	$83 - $182	93%
Iowa Total Care Mcaid - All Plans	$97	109%
Molina Mcaid - All Plans	$98	110%
Amerigroup Mcaid - All Other Plans	$100	112%
Centivo - All Plans	$122	137%
Midlands Choice - All Plans	$136	153%
Preferred Hlth - All Plans	$146	164%
Geha - All Plans	$155	174%
Multiplan - All Plans	$175	197%
Integrated Hp - All Plans	$188	211%

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 $116.
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 Monroe County Hospital 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.