CMS Price Transparency Data

X-ray, foot

Facility: West Valley Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $570
Cash Discount Price: $1,060
vs. Medicare Baseline: 6.41x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at West Valley Medical Center is $570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,060. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.41x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$1,060

Average discount available for prompt cash payment at this facility.

Insurance Median

$570

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: $1,060 (1192%)

Insurance Median: $570 (641%)

Cash: $1,060 (1192% of Medicare)

Ins. Median: $570 (641% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 641% of the Medicare baseline (a markup of 541%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$6 - $1,371	7%
Molina	$6 - $20	7%
Regence	$181	204%
United	$182 - $862	205%
Select Health Idaho (Eirmc Only)	$216 - $460	243%
Corizon Health	$251 - $534	282%
True Blue	$268 - $570	301%
Cigna	$380 - $808	427%
Pacificsource Health	$405 - $862	456%
Moda	$422 - $899	475%
St Luke'S Health Partners	$441 - $938	496%
Aetna	$536 - $1,141	603%
Four Rivers Hospice	$542 - $1,154	610%
Multiplan	$542 - $1,154	610%
Humana	$569 - $1,212	640%
Geha Ppo Usa	$576 - $1,227	648%
Coventry First Health	$610 - $1,299	686%
St Alphonsus Health	$610 - $1,299	686%

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 $1,060.
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 West Valley Medical Center 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.