CMS Price Transparency Data

X-ray, foot

Facility: Virginia Gay Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $131
Cash Discount Price: $218
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Virginia Gay Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.47x the Medicare baseline. Located in 502 North 9Th Avenue, Vinton, IA.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $218 (245%)

Insurance Median: $131 (147%)

Cash: $218 (245% of Medicare)

Ins. Median: $131 (147% 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
Aetna	$25	28%
Wellmark Hmo	$60	67%
Wellmark Ppo-All Other Plans	$65	73%
Medicaid / KanCare	$89 - $118	100%
UnitedHealthcare	$91 - $131	102%
Va Ccn-All Plans	$99 - $102	111%
Health Alliance Mcr Adv	$105 - $108	118%
Medical Associates-All Plans	$201 - $207	226%
Cedar Valley Community Healthcare-All Plans	$211 - $217	237%
Humana	$214 - $221	241%
Health Partners-All Plans	$228 - $235	256%
Healthsmart-All Plans	$228 - $235	256%
Corvel-All Plans	$249 - $257	280%
Health Alliance-All Other Plans	$255 - $262	287%

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 $218.
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 Virginia Gay 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.