CMS Price Transparency Data

X-ray, foot

Facility: Mc Donough District Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $49
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mc Donough District Hospital is $49. 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 0.55x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $49 (55%)
Cash: $175 (197% of Medicare)
Ins. Median: $49 (55% 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
Health Alliance $5 - $471 6%
Hfn $7 - $476 8%
UnitedHealthcare $7 - $476 8%
Aetna $8 - $529 9%
Humana $8 - $476 9%
Medicaid / KanCare $8 - $529 9%
Medicare (plans) $8 - $98 9%
Meridian $8 - $98 9%
Molina $8 - $529 9%
Mutual Medical $8 - $529 9%
Veteran Affairs $8 - $98 9%
Springfield Health $44 - $434 49%
Consociate $46 - $450 52%
Trilogy $46 - $450 52%
Blue Choice $49 - $476 55%
Current Health $49 - $476 55%
Healthlink $49 - $497 55%
Preferred Plan $51 - $503 57%
Blue Cross Blue Shield $54 - $529 61%
Tricare $92 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals