CMS Price Transparency Data

X-ray, foot

Facility: Warner Hospital and Health Services

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $423
Cash Discount Price: $562
vs. Medicare Baseline: 4.76x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Warner Hospital and Health Services is $423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $562. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.76x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$562

Average discount available for prompt cash payment at this facility.

Insurance Median

$423

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: $562 (632%)

Insurance Median: $423 (476%)

Cash: $562 (632% of Medicare)

Ins. Median: $423 (476% 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 476% of the Medicare baseline (a markup of 376%). 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	$198 - $613	223%
Aetna	$204 - $532	229%
Health Alliance Med Adv	$204 - $257	229%
Humana	$204 - $532	229%
Molina Mcr/Mcd Dual	$204 - $257	229%
UnitedHealthcare	$204 - $532	229%
Wellcare Mcr Adv-All Plans	$204 - $257	229%
Harmony Hp Mcaid-All Plans	$213	240%
Medicaid / KanCare	$213	240%
Meridian Hp-All Plans	$213	240%
Molina-All Other Plans	$213	240%
Healthlink Hmo	$389 - $488	438%
City Of Clinton (Employees Serv)-All Plans	$399 - $501	449%
Cigna	$413 - $519	465%
Caterpillar-All Plans	$423 - $532	476%
Multiplan Phcs-All Plans	$423 - $532	476%
Health Alliance-All Other Plans	$438 - $551	493%
Healthlink Ppo/Work Comp-All Other Plans	$438 - $551	493%
Consociate Care Ppo-All Plans	$448 - $563	504%
Hfn Ppo/Epo-All Plans	$448 - $563	504%
Three Rivers-All Plans	$473 - $595	532%

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 $562.
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 Warner Hospital and Health Services 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.