CMS Price Transparency Data

X-ray, foot

Facility: Fhn Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $108
Cash Discount Price: $118
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Fhn Memorial Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $118 (133%)

Insurance Median: $108 (121%)

Cash: $118 (133% of Medicare)

Ins. Median: $108 (121% 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	$8 - $325	9%
Health Alliance Mcr Adv	$8 - $93	9%
Humana	$8 - $462	9%
Quartz Mcr Adv	$8 - $93	9%
UnitedHealthcare	$8 - $456	9%
Osf Healthplans - All Plans	$14 - $584	16%
Blue Cross Blue Shield	$17 - $394	19%
Ecoh Nihp	$17 - $368	19%
Ecoh - All Other Plans	$19 - $397	21%
Nihp Employ - All Plans	$19 - $368	21%
The Alliance - All Plans	$22 - $350	25%
Meridian Health Plan - All Plans	$49 - $312	55%
Quartz - All Other Plans	$70 - $380	79%
Northern Il Hp - All Plans	$74 - $403	83%
First Health - All Plans	$75 - $411	84%
Hfn - All Plans	$88 - $479	99%
First Choice Il - All Plans	$91 - $497	102%
Multiplan Phcs - All Plans	$91 - $497	102%
Wps - All Plans	$94 - $511	106%
Galaxy - All Plans	$96 - $526	108%
Health Alliance - All Other Plans	$96 - $526	108%
Interplan Health - All Plans	$96 - $526	108%
Preferred Plan Ppo - All Plans	$96 - $526	108%
Trustmark - All Plans	$98 - $538	110%
Midland Choice - All Plans	$102 - $555	115%

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 $118.
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 Fhn Memorial 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.